Individual
JUSTIN W SMOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DIPL. O.M.
Contact information
Practice address
101 S RANDALL AVE, ELK CITY, OK 73644-5233
(580) 225-5225
Mailing address
PO BOX 1857, ELK CITY, OK 73648-1857
(405) 742-6168
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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