Individual
MICHAEL S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5100 N BROOKLINE AVE, STE 500, OKLAHOMA CITY, OK 73112-3623
(405) 605-8780
Mailing address
PO BOX 960261, OKLAHOMA CITY, OK 73196-0001
(405) 605-8780
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18758
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100149600C
—
OK
01
—
250005065
MEDICARE RR
OK
Enumeration date
06/20/2006
Last updated
03/20/2009
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