| NPI | 1710900097 | 
|---|---|
| Doing Business As | SMITH DERMATOLOGY CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | STEVEN A. SMITH Physician 918-664-9881  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 15063)  | 
| Enumeration Date | 2006-07-26 | 
| Last Update Date | 2008-06-23 |