Individual
DR. RAYMOND LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1404 E 9TH ST, EDMOND, OK 73034-5712
(405) 285-8538
(405) 285-8539
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(405) 285-8538
(405) 285-8539
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
178
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
178
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100780200A
—
OK
05
—
200223730A
—
OK
Enumeration date
07/21/2005
Last updated
03/28/2012
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