Individual provider · Type 1 NPI
Carolyn Marion Smith, MD
Clinic/Center · Bloomington, IN
NPI number
1962646786
Active
Practice location
3620 N Lauren Ln
Bloomington, IN 47404-9206
Fax (317) 574-0050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 01027170 (IN) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Bloomington
About NPI 1962646786
Carolyn Marion Smith, MD's National Provider Identifier is 1962646786, issued on Apr 23, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bloomington, IN. The record was last updated on Apr 23, 2009.