JACK SMITH, PA
Physician Assistant
Active
Individual
NPI: 1528036704
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 1155 (OK) |
Frequently Asked Questions
NPI 1528036704 is the National Provider Identifier for JACK SMITH, PA, a Physician Assistant provider located in Oklahoma City, OK. This NPI was enumerated on March 14, 2006.
JACK SMITH, PA practices at 4401 W MEMORIAL RD, Oklahoma City, OK 73134.
Quick Facts
- NPI
- 1528036704
- Type
- Individual
- Enumerated
- Mar 14, 2006
- Last Updated
- Dec 1, 2025
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