Individual
CONSTANCE A. SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9100 N MAY AVE, OKLAHOMA CITY, OK 73120-4417
(405) 840-4456
(405) 840-4295
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15771
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080101620
RAILROAD
OK
05
—
100042850B
—
OK
01
—
15771
LICENSE
OK
01
—
20167
OBNDD
OK
Enumeration date
06/30/2006
Last updated
05/21/2014
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