Individual
SAMUEL JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13333 E 43RD PL S, TULSA, OK 74134-5893
(918) 860-1462
Mailing address
13333 E 43RD PL S, TULSA, OK 74134-5893
(918) 860-1462
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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