Organization
R. BRENT SMITH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B. SMITH M.D. (OWNER/PHYSICIAN)
(580) 357-0493
Entity
Organization
Contact information
Practice address
4411 W GORE BLVD, STE. B-5, LAWTON, OK 73505-5977
(580) 357-0493
Mailing address
4411 W GORE BLVD, STE. B-5, LAWTON, OK 73505-5977
(580) 357-0493
(580) 248-6090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14133
OK
Other
Enumeration date
09/29/2008
Last updated
05/20/2009
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