Individual
JASON E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 HEALTH CENTER PARKWAY, YUKON, OK 73099
(405) 717-6800
(405) 717-7964
Mailing address
DEPT 963410, OKLAHOMA CITY, OK 73196
(580) 548-1367
(580) 548-1537
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76396
OK
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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