| Corby Smithton, D.O., P.C. | |
|
1921 W 6th Ave Ste A Stillwater OK 74074-4204 | |
| (405) 533-2433 | |
| (405) 533-2434 |
| Full Name | Corby Smithton, D.O., P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 1921 W 6th Ave Ste A, Stillwater, Oklahoma |
| Authorized Official Name and Position | Corby W Smithton (OWNER) |
| Authorized Official Contact | 4055332433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corby Smithton, D.O., P.C. 1921 W 6th Ave Ste A Stillwater OK 74074-4204 Ph: (405) 533-2433 | Corby Smithton, D.O., P.C. 1921 W 6th Ave Ste A Stillwater OK 74074-4204 Ph: (405) 533-2433 |
| NPI Number | 1992828594 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Medicare PECOS PAC ID | 9133292949 |
|---|---|
| Medicare Enrollment ID | O20080728000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992828594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Corby Smithton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366437246 PECOS PAC ID: 2961576178 Enrollment ID: I20100916000626 |
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