| Smith Medical Clinic | |
|
8510 North 123rd East Avenue Owasso OK 74055 | |
| (918) 272-1138 | |
| (918) 274-2931 |
| Full Name | Smith Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 8510 North 123rd East Avenue, Owasso, Oklahoma |
| Authorized Official Name and Position | Stanley Joe Smith (PARTNER) |
| Authorized Official Contact | 9182721138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Medical Clinic 8510 North 123rd East Avenue Owasso OK 74055 Ph: (918) 272-1138 | Smith Medical Clinic 8510 North 123rd East Avenue Owasso OK 74055 Ph: (918) 272-1138 |
| NPI Number | 1104972629 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 09/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104972629 | NPI | - | NPPES |
| 100735800A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
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