Individual
JENNIFER G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4140 W MEMORIAL RD, SUITE 321, OKLAHOMA CITY, OK 73120-8366
(405) 748-4726
(405) 607-8497
Mailing address
4140 W MEMORIAL RD, SUITE 321, OKLAHOMA CITY, OK 73120-8366
(405) 748-4726
(405) 607-8497
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
28110
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10186714
—
VA
01
—
1391R
BCBS
—
05
—
200314200A
—
OK
01
—
7959719
AETNA
—
01
—
80768
PARTNERS
—
01
—
E4094
MEDCOST
—
Enumeration date
12/08/2005
Last updated
01/10/2020
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