NPI | 1104972629 |
---|---|
Doing Business As | SMITH MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | STANLEY JOE SMITH Partner 918-272-1138 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-01-26 |
Last Update Date | 2011-09-16 |