Michael Smith, PRSS

NPI #1871969675 in Yukon, Oklahoma

Provider Information

NPI Number: 1871969675
Entity Type: Individual
Name: Michael Smith, PRSS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PRSS
Enumeration Date: Aug 15, 2015
Last Updated: Aug 15, 2015

Practice Location

Address: 428 S MUSTANG RD
City: Yukon
State: Oklahoma
ZIP Code: 73099-6754
Phone: (405) 577-5477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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