Organization
DAVID L & STANLEY J SMITH PTRS
Active
Other names
Smith Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY JOE SMITH D.O. (PARTNER)
(918) 272-1138
Entity
Organization
Contact information
Practice address
8510 NORTH 123RD EAST AVENUE, OWASSO, OK 74055
(918) 272-1138
(918) 274-2931
Mailing address
8510 NORTH 123RD EAST AVENUE, OWASSO, OK 74055
(918) 272-1138
(918) 274-2931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100735800A
—
OK
Enumeration date
01/26/2007
Last updated
09/16/2011
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