Individual
CHRISTOPHER ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-5340
Mailing address
3008 WOODSTOCK RD, MOORE, OK 73160-2367
(417) 439-7153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0266R
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0266R
RESIDENT TRAINING LICENSE
OK
Enumeration date
07/01/2018
Last updated
07/01/2018
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