Individual
ROGER LYNN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3612 TREADWELL DR, OKLAHOMA CITY, OK 73112-6138
(405) 291-0088
Mailing address
3612 TREADWELL DR, OKLAHOMA CITY, OK 73112-6138
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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