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David Smith, M.D
NPI 1962405993 · on the registry since 2005 · sole proprietor
Practice
- Address
- 7613 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804 - Phone
- (260) 469-7337
- Fax
- (260) 469-7340
- Organisation at this address
- Great Lakes Pediatric Surgeons, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2086S0120X
2086S0120X
- Also registered as
- 208600000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana