# CASSIE M SMITH MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MODERN ENDOCRINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366297558
- **Authorized official:** LAURA MCKENZIE (BUSINESS MANAGER)
- **Authorized official phone:** (405) 844-5221

## Contact information

- **Practice address:** 1616 S KELLY AVE, EDMOND, OK 73013-3651
- **Practice address phone:** (405) 286-1571
- **Practice address fax:** (405) 286-1572
- **Mailing address:** 1616 S KELLY AVE, EDMOND, OK 73013-3651
- **Mailing address phone:** (405) 286-1571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 04/22/2024