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Individual

ZOE L SMOTHERMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 748-7557
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 403-7054

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5626
OK

Other

Enumeration date
03/28/2013
Last updated
07/01/2016
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