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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.

Location: 8937 S Garnett Rd, Broken Arrow, OK, 74017-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Broken Arrow
State
Oklahoma
Zip
74012-6018
Phone Number
918-872-9777
Fax Number
person
Provider Business Mailing Address Details
Address
8937 S Garnett Rd
City
Broken Arrow
State
Oklahoma
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
390200000X
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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