Darryl Smith, | |
2200 Randallia Dr, Ft Wayne, IN 46805-4638 | |
(800) 899-5757 | |
Not Available |
Full Name | Darryl Smith |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 2200 Randallia Dr, Ft Wayne, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275517724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01031762A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Darryl Smith, 2458 Lake Ave, Fort Wayne, IN 46805-5406 Ph: (260) 424-2195 | Darryl Smith, 2200 Randallia Dr, Ft Wayne, IN 46805-4638 Ph: (800) 899-5757 |
Blandine B Bustamante, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Ft Wayne, IN 46805 Phone: 260-424-2195 | |
Shuishih Sage Lee, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Ft Wayne, IN 46805 Phone: 800-899-5757 | |
Ralph Craig Mcbride, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2200 Randallia Dr, Ft Wayne, IN 46805 Phone: 800-899-5757 | |
Xiaoying Wan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2200 Randallia Dr, Ft Wayne, IN 46805 Phone: 800-899-5757 |