Ruston Garrett Smith

NPI #1669146387 in Durant, Oklahoma

Provider Information

NPI Number: 1669146387
Entity Type: Individual
Name: Ruston Garrett Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 5, 2021
Last Updated: Aug 5, 2021

Practice Location

Address: 1405 N 4TH AVE
City: Durant
State: Oklahoma
ZIP Code: 74701-3330
Phone: (580) 745-2829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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