Thomas D. Smith III, M.D.
Family Medicine in New Haven, IN. Individual provider (NPI-1).
NPI number1790762870
StatusActive
Last updated in NPPESDec 14, 2009
Details
- NPI
- 1790762870
- Entity type
- Individual (NPI-1)
- Name
- Thomas D. Smith III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Dec 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01027868A | IN | Yes |
Practice location
1331 Minnich RdNew Haven, IN 46774-2051
Phone 260-373-9600 · Fax 260-373-9602
Mailing address
1234 E Dupont RdSuite 3
Fort Wayne, IN 46825-1545
Phone 260-373-9700 · Fax 260-373-9740
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