Individual
DARRYL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 HOMESTEAD LN, CALERA, OK 74730-3822
(580) 461-6437
Mailing address
99 HOMESTEAD LN, CALERA, OK 74730-3822
(580) 461-6437
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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