Matthew Smith

NPI #1013769967 in Tulsa, Oklahoma

Provider Information

NPI Number: 1013769967
Entity Type: Individual
Name: Matthew Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Apr 3, 2024
Last Updated: Apr 3, 2024

Practice Location

Address: 423 S 79TH EAST AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74112-2139
Phone: (918) 829-4076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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