Tara Smith, HIS

NPI #1669110383 in Moore, Oklahoma

Provider Information

NPI Number: 1669110383
Entity Type: Individual
Name: Tara Smith, HIS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Credential: HIS
Enumeration Date: May 23, 2022
Last Updated: May 23, 2022

Practice Location

Address: 1323 N NAIL PKWY
City: Moore
State: Oklahoma
ZIP Code: 73160-4643
Phone: (405) 201-6128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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