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Glenn L Smith, DO
Specialist in Oklahoma City, Oklahoma
NPI 1740209170

Glenn L Smith is a Specialist based in Oklahoma City, OK. Glenn L Smith practices in Oklahoma City, OK and has the professional credentials of DO. The NPI Number for Glenn L Smith is 1740209170 and holds a License No. 1667 (Oklahoma).

The current practice location address for Glenn L Smith is 2149 Sw 59Th St, Oklahoma City, OK and can be reached out via phone at 405-682-4651 and via fax at 405-682-3391.

Location: 2149 Sw 59Th St, Oklahoma City, OK, 73119-7033
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Provider Profile Details
NPI Number
1740209170
Provider Name
Glenn L Smith
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2149 Sw 59Th St, Oklahoma City, OK, 73119-7033
Phone Number
405-682-4651
Fax Number
405-682-3391
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
731079803 01 OK FEDERAL TAX ID #
731079803001 01 OK BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2149 Sw 59Th St
City
State
Zip
73119-7033
Phone Number
405-682-4651
Fax Number
405-682-3391
person
Provider Business Mailing Address Details
Address
2149 Sw 59Th St
City
State
Zip
73119-7033
Phone Number
405-682-4651
Fax Number
405-682-3391
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
1667 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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