Individual
STEVEN BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5711 E 71ST ST SUITE 115, TULSA, OK 74136-6628
(918) 494-2955
(918) 494-2905
Mailing address
701 W. ELGIN ST, BROKEN ARROW, OK 74012
(918) 455-2001
(918) 301-0088
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
186
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620980735
GROUP PTAN
OK
01
—
731510851
TAX ID
OK
Enumeration date
08/21/2006
Last updated
11/29/2023
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