Individual
DR. MARY LEANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 NE 10TH ST, OKCC L100, OKLAHOMA CITY, OK 73104-5418
(405) 271-3021
Mailing address
104 NW 31ST ST, OKCC L100, LAWTON, OK 73505-6100
(580) 536-2121
(580) 536-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25797
OK
207UN0902X
Nuclear Imaging & Therapy Physician
25797
OK
2085R0203X
Therapeutic Radiology Physician
Primary
25797
OK
Other
Enumeration date
08/07/2007
Last updated
06/22/2016
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