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Individual

MR. MICAH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
6929 S SOONER RD APT 36203, OKLAHOMA CITY, OK 73135-2724
(405) 209-3449
Mailing address
6929 S SOONER RD APT 36203, OKLAHOMA CITY, OK 73135-2724
(405) 209-3449

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2656
OK

Other

Enumeration date
01/31/2022
Last updated
01/31/2022
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