Individual
SANDRA SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
413 N 7TH ST, PERRY, OK 73077-6407
(580) 336-9955
(580) 336-9905
Mailing address
413 N 7TH ST, PERRY, OK 73077-6407
(580) 336-9953
(580) 336-9905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/24/2025
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