Individual
LATOYA TERESINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
101 S PARK LN, ALTUS, OK 73521-5731
(580) 379-6140
(580) 379-6149
Mailing address
PO BOX 405457, ATLANTA, GA 30384-5457
(405) 733-4985
(405) 737-4041
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4959
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200294410A
—
OK
Enumeration date
05/28/2009
Last updated
07/21/2022
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