person
Carrol Smith, PHD
Student in an Organized Health Care Education/Training Program in Broken Arrow, Oklahoma
NPI 1639665482

Carrol Smith is a Student in an Organized Health Care Education/Training Program based in Claremore, OK. Carrol Smith practices in Broken Arrow, OK and has the professional credentials of PHD. The NPI Number for Carrol Smith is 1639665482 and holds a License No. (Oklahoma).

The current practice location address for Carrol Smith is 8937 S Garnett Rd, Broken Arrow, OK and can be reached out via phone at 918-872-9777. You can also correspond with Carrol Smith through the mailing address at 2990 N SIOUX AVE, CLAREMORE, OK - 74017-3700 (mailing address contact number: 918-342-2622).

Location: 8937 S Garnett Rd, Broken Arrow, OK, 74017-3700
person
Provider Profile Details
NPI Number
1639665482
Provider Name
Carrol Smith
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
8937 S Garnett Rd, Broken Arrow, OK, 74017-3700
Phone Number
918-872-9777
Fax Number
Provider Enumeration Date
07/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12101988 01 DOB
institution
Provider Business Practice Location Address Details
Address
8937 S Garnett Rd
City
State
Zip
74012-6018
Phone Number
918-872-9777
Fax Number
person
Provider Business Mailing Address Details
Address
8937 S Garnett Rd
City
State
Zip
74012-6018
Phone Number
918-872-9777
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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