Individual
MR. ZACHARY ADAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1445 HEALTH CENTER PKWY, YUKON, OK 73099-6492
(405) 577-6701
Mailing address
1445 HEALTH CENTER PKWY, YUKON, OK 73099-6492
(405) 577-6701
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
96356
OK
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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