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Individual

DR. STANLEY JOE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
13600 E 86TH ST N, STE 100, OWASSO, OK 74055-8731
(918) 272-9313
(918) 403-6311
Mailing address
1923 S UTICA AVE, DT 1000, TULSA, OK 74104
(918) 403-7054
(918) 744-2946

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2232
OK

Other

Enumeration date
07/25/2006
Last updated
02/04/2016
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