Individual
DR. JEFFERY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2307 LA PORTE AVE, SUITE 4, VALPARAISO, IN 46383-7028
(219) 510-5623
(219) 286-3965
Mailing address
8219 WICKER AVE., ST. JOHN, IN 46373-8878
(219) 627-3315
(219) 627-3316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01030268A
IN
Other
Enumeration date
06/01/2007
Last updated
05/13/2016
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