Individual
LARISSA CHERYL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1411 W 7TH AVE, STILLWATER, OK 74074-4300
(405) 742-8222
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5625
OK
Other
Enumeration date
03/21/2013
Last updated
03/26/2020
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