Individual
DENNIS PHILEMON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
369026 US HWY. 62, BOLEY, OK 74829
(918) 667-3367
Mailing address
PO BOX 218, BOLEY, OK 74829-0218
(918) 667-3367
(918) 667-3387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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