NPI 1700101102

Mitchell W. Smith, DO

Practitioner Allergy & Immunology Physician Greenwood, IN

Practice location

Address: 965 Emerson Pkwy Suite B, Greenwood, IN 46143-6273
Phone: (317) 865-0055
Fax: (317) 865-0056
Mailing address: PO Box 603725, Charlotte, NC 28260-3725

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 02004276A (IN)

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Registry record

NPI: 1700101102
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2010
Record last updated: 30 Oct 2023

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.