Individual
RICHARD BRENT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4411 W GORE BLVD, SUITE B5, LAWTON, OK 73505-5977
(580) 357-0493
Mailing address
4411 W GORE BLVD, SUITE B5, LAWTON, OK 73505-5977
(580) 357-0493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14133
OK
Other
Enumeration date
01/03/2006
Last updated
06/27/2012
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