Individual
E. MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD, WP3240, OKLAHOMA CITY, OK 73104-5020
(405) 271-5251
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15332
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100825230D
—
OK
Enumeration date
03/14/2006
Last updated
11/03/2008
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