Brian Lee Smith, PRESIDENT
NPI #1114118643 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1114118643
- Entity Type
- Individual
- Name
- Brian Lee Smith, PRESIDENT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- PRESIDENT
- Enumeration Date
- Aug 8, 2007
- Last Updated
- Aug 8, 2007
Practice Location
- Address
- 6718 S WESTERN AVE
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73139-1807
- Phone
- (405) 602-1053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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