C Richard Smith DO

NPI 1083699193 - Internal Medicine - 207RI0011X

NPI Details
NPI 1083699193
Gender Male
Enumeration Date 12/12/2005
Last Updated 10/23/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
801 MACARTHUR BLVD
SUITE 203
MUNSTER IN, 46321-2915, US
Phone (219) 865-0893
Fax (219) 865-3599
Business Location
3615 PARK DR
SUITE 203
OLYMPIA FIELDS IL, 60461-1186, US
Phone (708) 748-9800
Fax (708) 748-9807
Toxanomy
Taxonomy Code 207RI0011X
License State Indiana
License Number 02000747A
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According to our database, C Richard Smith DO NPI is 1083699193, taxonomy code is 207RI0011X and license number is 02000747A, license state is located at Indiana. C Richard Smith DO physically located at 801 Macarthur Blvd, Munster IN, 46321-2915. NPI Number C Richard Smith DO has the Individual type.

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1083699193 NPI number is provided on an as is basis without warranty of any kind. 1083699193 is maintained by the National Plan & Provider Enumeration System. The contents of C Richard Smith DO are for informational purposes only.