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Dr. Jeffery Smith, M.D.

Family Medicine in Valparaiso, IN. Individual provider (NPI-1).

NPI number1982806923
StatusActive
Last updated in NPPESMay 13, 2016

Details

NPI
1982806923
Entity type
Individual (NPI-1)
Name
Dr. Jeffery Smith
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 1, 2007
Last updated
May 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01030268AINYes

Practice location

2307 La Porte Ave
Suite 4
Valparaiso, IN 46383-7028

Phone 219-510-5623 · Fax 219-286-3965

Mailing address

8219 Wicker Ave.
St. John, IN 46373-8878

Phone 219-627-3315 · Fax 219-627-3316

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