Dr Courtland Prentice Smith Jr, MD | |
26300 South Hwy 125, Afton, OK 74331 | |
(918) 257-8585 | |
(918) 257-8560 |
Full Name | Dr Courtland Prentice Smith Jr |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 26300 South Hwy 125, Afton, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043371198 | NPI | - | NPPES |
19859 | Other | MO | BLUE CROSS BLUE SHIELD |
207948209 | Medicaid | MO | |
128329001 | Medicaid | AR | |
97588 | Other | AR | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 107833 (Missouri) | Secondary |
207Y00000X | Otolaryngology | 25369 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Courtland Prentice Smith Jr, MD 26300 South Hwy 125, Afton, OK 74331 Ph: (918) 257-8585 | Dr Courtland Prentice Smith Jr, MD 26300 South Hwy 125, Afton, OK 74331 Ph: (918) 257-8585 |
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