Organization
AERIE FAMILY WELLNESS & MEDICAL GROUP PC
Active
Other names
Care Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON C SMITH D.C. (SECRETARY)
(918) 836-6454
Entity
Organization
Contact information
Practice address
3242 E ADMIRAL PL, TULSA, OK 74110-5536
(918) 836-6454
(918) 836-6455
Mailing address
3242 E ADMIRAL PL, TULSA, OK 74110-5536
(918) 836-6454
(918) 836-6455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9483
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316981004
NPI
OK
Enumeration date
03/30/2007
Last updated
08/22/2020
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