Individual
DR. WILLIAM K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 542-4495
(918) 542-4497
Mailing address
4500 S GARNETT RD STE 300, TULSA, OK 74146-5238
(918) 728-6194
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10137
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158260A
—
OK
01
—
302120767
RR MEDICARE
OK
Enumeration date
07/11/2006
Last updated
10/08/2013
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