Larry Smith

NPI #1699217091 in Claremore, Oklahoma

Provider Information

NPI Number: 1699217091
Entity Type: Individual
Name: Larry Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 16, 2016
Last Updated: Nov 16, 2016

Practice Location

Address: 17599 S HIGHWAY 88
City: Claremore
State: Oklahoma
ZIP Code: 74017-0801
Phone: (918) 342-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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