Individual
DAVID S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5501 W BETHEL AVE STE A, MUNCIE, IN 47304-8513
(765) 751-5330
(317) 222-2485
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07001348A
LICENSE
—
01
—
1102504130
ANTHEM PTAN
IN
05
—
300003106
—
IN
Enumeration date
04/13/2017
Last updated
01/06/2025
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