Mckotah Brice Smith, PA

NPI #1508508409 in Healdton, Oklahoma

Provider Information

NPI Number: 1508508409
Entity Type: Individual
Name: Mckotah Brice Smith, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 11, 2022
Last Updated: Jun 23, 2022

Practice Location

Address: 3462 HOSPITAL RD
City: Healdton
State: Oklahoma
ZIP Code: 73438-6124
Phone: (580) 229-0701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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