| R. Brent Smith, M.d., Inc. | |
|
4411 W Gore Blvd Ste. B-5 Lawton OK 73505-5977 | |
| (580) 357-0493 | |
| Not Available |
| Full Name | R. Brent Smith, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4411 W Gore Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Richard B. Smith (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5803570493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Brent Smith, M.d., Inc. 4411 W Gore Blvd Ste. B-5 Lawton OK 73505-5977 Ph: (580) 357-0493 | R. Brent Smith, M.d., Inc. 4411 W Gore Blvd Ste. B-5 Lawton OK 73505-5977 Ph: (580) 357-0493 |
| NPI Number | 1053561878 |
|---|---|
| Provider Enumeration Date | 09/29/2008 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053561878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14133 (Oklahoma) | Primary |
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