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Organization

DR. PENNY B. SMYTHE, INC., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PENNY B SMYTHE O.D. (OPTOMETRIST)
(918) 616-1634
Entity
Organization

Contact information

Practice address
1157 N. YORK ST., MUSKOGEE, OK 74403
(918) 683-8404
(918) 687-4469
Mailing address
1157 N. YORK ST., MUSKOGEE, OK 74403
(918) 683-8404
(918) 687-4469

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2083
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100766280A
OK
Enumeration date
10/06/2014
Last updated
10/06/2014
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