Individual
DR. ELLIOTT G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST # 1G, OKLAHOMA CITY, OK 73104-5417
(405) 271-2220
Mailing address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 204-9998
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45427
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
06/27/2025
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