Individual
HEATH ADAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4602 US HIGHWAY 59, GROVE, OK 74344-4229
(918) 787-2242
(918) 786-5985
Mailing address
PO BOX 863, JAY, OK 74346-0863
(918) 253-7359
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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