Individual
MARCUS JOHN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 QUAIL SPRINGS PKWY, SUITE 200, OKLAHOMA CITY, OK 73134-2604
(405) 701-9880
(405) 701-9881
Mailing address
3200 QUAIL SPRINGS PKWY, SUITE 200, OKLAHOMA CITY, OK 73134-2604
(405) 701-9880
(405) 701-9881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25706
OK
207RC0000X
Cardiovascular Disease Physician
25706
OK
207RI0011X
Interventional Cardiology Physician
Primary
25706
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200210130A
—
OK
Enumeration date
06/22/2007
Last updated
03/13/2017
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