Individual
ANGELA K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
6613 N MERIDIAN AVE, OKLAHOMA CITY, OK 73116-1423
(405) 603-8450
(405) 603-8455
Mailing address
930 N FLOOD AVE, NORMAN, OK 73069-7642
(405) 321-3719
(405) 364-3209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1106
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042650A
—
OK
Enumeration date
06/15/2005
Last updated
02/04/2011
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