Individual
JANA R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Mailing address
912 S EAST AVE, TAHLEQUAH, OK 74464-5117
(918) 260-3494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29750
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2010
Last updated
12/14/2017
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