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Individual

DALE B SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4920 SW LEE BLVD, LAWTON, OK 73505-8339
(580) 536-8844
(580) 536-8818
Mailing address
4920 SW LEE BLVD, LAWTON, OK 73505-8339
(580) 536-8844
(580) 536-8818

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2833
OK

Other

Enumeration date
05/26/2006
Last updated
08/12/2010
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