Individual
BYRON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12834 OLD US 169, OOLOGAH, OK 74053
(918) 695-2059
(918) 221-7975
Mailing address
12834 OLD US 169, OOLOGAH, OK 74053
(918) 695-2059
(918) 221-7975
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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