Individual
MIRANDA ELISABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3915 E 51ST ST, TULSA, OK 74135-3605
(918) 749-5714
(918) 749-5826
Mailing address
3915 E 51ST ST, TULSA, OK 74135-3605
(918) 749-5714
(918) 749-5826
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25108
OK
Other
Enumeration date
01/30/2007
Last updated
04/07/2016
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