Provider First Line Business Practice Location Address:
105 E. SANTA FE
Provider Second Line Business Practice Location Address:
DOROTHY SMITH FAMILY MEDICAL CLINIC
Provider Business Practice Location Address City Name:
CARNEY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-865-2020
Provider Business Practice Location Address Fax Number:
405-865-2323
Provider Enumeration Date:
09/25/2014