Individual
RUSTON GARRETT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 N 4TH AVE, DURANT, OK 74701-3330
(580) 745-2829
(580) 745-2518
Mailing address
3802 W UNIVERSITY BLVD APT 11, DURANT, OK 74701-3019
(870) 692-1259
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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