Individual
BRENT DOUGLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHTII
Contact information
Practice address
5050 WILLIAMS AVE, WOODWARD, OK 73801-7713
(580) 256-9700
Mailing address
1723 3RD ST, WOODWARD, OK 73801-4909
(580) 254-4553
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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