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Contact Information

MALCOLM DEREK SMITH, DPM PC
1700 N 5TH ST
PONCA CITY, OK74601-2762
 Phone: 580-765-3389
 Fax: 580-762-3994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MALCOLM DEREK SMITH DPM PC · (Female)

NPI Number 1285803049
Status Active
Credentials
Entity Individual
Enumeration date 02/26/2008
Last updated 02/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 198
  • OK Medicaid 100779800A
  • OK Other 294540038001 BLUE CROSS BLUE SHIELD
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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