Individual
GERROD SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 OLD HIGHWAY 33, LANGSTON, OK 73050-0465
(405) 332-8001
Mailing address
PO BOX 465, LANGSTON, OK 73050-0465
(405) 332-8001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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