Individual
DR. CARL ROE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
39785 W HIGHWAY 16, BRISTOW, OK 74010-8588
(918) 729-3850
Mailing address
700 W 7TH AVE, SUITE 101, BRISTOW, OK 74010-2302
(918) 367-3272
(918) 367-5275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3992
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119530A
—
OK
Enumeration date
07/25/2006
Last updated
03/27/2025
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