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Individual

DR. JENNY ALYCE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 494-4250
(918) 494-4299
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3333
(918) 488-6653
(918) 488-6098

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10057663
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35692
OK

Other

Enumeration date
05/28/2016
Last updated
10/26/2020
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