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Contact Information

JEFFREY J SMITH, MD
1800 RENAISSANCE BLVD
STE 210
EDMOND, OK73013-3023
 Phone: 405-470-6767
 Fax: 405-470-6768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JEFFREY J SMITH · (Male)

NPI Number 1184675860
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 01/09/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 14140
  • OK Medicaid 100826770B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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