Search › Oklahoma › 101YM0800X
Jack Smith
NPI 1669885687 · on the registry since 2014
Practice
- Address
- 933 Sw 3rd St
Moore, OK 73160 - Phone
- (405) 822-1424
Additional practice sites
- 12901 E Britton Rd Ste B, Jones, OK
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 104100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma