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Individual

DR. JOHN DOUGLAS SMILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
768 STATELINE RD, COLCORD, OK 74338-1346
(918) 422-6118
(918) 422-6192
Mailing address
PO BOX 1181, SILOAM SPRINGS, AR 72761-1181
(918) 422-6118
(918) 422-6192

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2567
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100832070A
OK
Enumeration date
06/26/2006
Last updated
12/18/2008
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