Individual
JONAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 W 17TH PL, TULSA, OK 74119-4654
(918) 585-1213
Mailing address
704 GRANITE ST, PAWNEE, OK 74058-2517
(539) 281-9041
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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