Individual
MICHAEL JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPAS
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7585
(918) 748-7539
Mailing address
1819 E 19TH ST, TULSA, OK 74104-5407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
APA2412
OK
Other
Enumeration date
11/06/2014
Last updated
02/04/2025
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