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Individual

RYAN LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 748-7557
(918) 403-0383
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 403-7054
(918) 744-2946

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5816
OK

Other

Enumeration date
04/28/2014
Last updated
07/21/2022
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