Individual
MR. STUART SCOTT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
5700 ARNOLD ST, TINKER AFB, OK 73145-8105
(405) 734-2678
Mailing address
1400 N MIDWEST BLVD APT G, MIDWEST CITY, OK 73110-3235
(405) 887-6511
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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