NPI 1144887191

Dennis Philemon Smith

Practitioner Case Manager/Care Coordinator Boley, OK

Practice location

Address: 369026 US Hwy. 62, Boley, OK 74829
Phone: (918) 667-3367
Mailing address: PO Box 218, Boley, OK 74829-0218

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1144887191
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2019
Record last updated: 24 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.