Individual
ANNALYN ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11306 S HARVARD AVE, TULSA, OK 74137-7808
(918) 630-8052
Mailing address
11306 S HARVARD AVE, TULSA, OK 74137-7808
(918) 630-8052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18723
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2023
Last updated
02/24/2025
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