NPI 1083699193

C Richard Smith, DO

Practitioner Interventional Cardiology Physician Dyer, IN

Practice location

Address: 2150 Gettler St STE 400, Dyer, IN 46311-2385
Phone: (219) 865-0893
Fax: (219) 865-3599
Mailing address: PO Box 781076, Detroit, MI 48278-1076

Registered specialties (2)

Interventional Cardiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RI0011X Licence 02000747A (IN)

Other Internal Medicine providers in Indiana →

Interventional Cardiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RI0011X Licence 036-055627 (IL)

Registry record

NPI: 1083699193
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2005
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.