Individual
CASEY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6585 S YALE AVE, SUITE 200, TULSA, OK 74136-8384
(918) 481-2767
(918) 481-7611
Mailing address
6585 S YALE AVE, SUITE 200, TULSA, OK 74136-8384
(918) 481-2767
(918) 481-7611
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
30724
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200542910A
—
OK
Enumeration date
07/01/2008
Last updated
02/24/2015
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