Individual
TRAVIS RICHARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02008840A
IN
207L00000X
Anesthesiology Physician
Primary
O-1308
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/18/2008
Last updated
04/15/2026
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