Individual
DR. CORBY WADE SMITHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1921 W 6TH AVE, STILLWATER, OK 74074-4204
(405) 533-1474
(405) 742-4990
Mailing address
1921 W 6TH AVE, STILLWATER, OK 74074-4204
(405) 533-1474
(405) 742-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3789
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119580A
—
OK
Enumeration date
09/15/2005
Last updated
07/13/2011
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