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Malcolm Derek Smith, Dpm Pc
Podiatrist in Ponca City, Oklahoma
NPI 1285803049

Malcolm Derek Smith, Dpm Pc is a Podiatrist based in Ponca City, OK. Malcolm Derek Smith, Dpm Pc practices in Ponca City, OK. The NPI Number for Malcolm Derek Smith, Dpm Pc is 1285803049 and holds a License No. 198 (Oklahoma).

The current practice location address for Malcolm Derek Smith, Dpm Pc is 1700 N 5Th St, Ponca City, OK and can be reached out via phone at 580-765-3389 and via fax at 580-762-3994.

Location: 1700 N 5Th St, Ponca City, OK, 74601-2762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285803049
Provider Name
Malcolm Derek Smith, Dpm Pc
Credential
Provider Entity Type
Organization
Address
1700 N 5Th St, Ponca City, OK, 74601-2762
Phone Number
580-765-3389
Fax Number
580-762-3994
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100779800A 05 OK
294540038001 01 OK BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1700 N 5Th St
City
Ponca City
State
Oklahoma
Zip
74601-2762
Phone Number
580-765-3389
Fax Number
580-762-3994
person
Provider Business Mailing Address Details
Address
1700 N 5Th St
City
Ponca City
State
Oklahoma
Zip
74601-2762
Phone Number
580-765-3389
Fax Number
580-762-3994
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
198 (Oklahoma)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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