Individual
WALTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13212 PINEHURST RD, OKLAHOMA CITY, OK 73120-8518
(405) 889-7214
Mailing address
13212 PINEHURST RD, OKLAHOMA CITY, OK 73120-8518
(405) 889-7214
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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