Organization
SHAWN SMITH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAWN SMITH M.D. (MD)
(405) 605-8780
Entity
Organization
Contact information
Practice address
5100 N BROOKLINE AVE, SUITE 500, OKLAHOMA CITY, OK 73112-3623
(405) 605-8780
Mailing address
PO BOX 960261, OKLAHOMA CITY, OK 73196-0261
(405) 605-8780
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18758
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100149600C
—
OK
01
—
1689610719
INDIVIDUAL NPI
OK
Enumeration date
06/16/2008
Last updated
07/22/2013
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