MEDICARE: VERNON CURTIS SMITH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2635	OK

General Provider Information

NPI Number	:	1760433551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERNON CURTIS SMITH DC

Provider Business Mailing Address
First Line	:	1810 E 15TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-4611
Country	:	US
Telephone Number	:	918-836-6454
Fax Number	:	918-836-6455

Provider Business Practice Location Address
First Line	:	3242 EAST ADMIRAL PLACE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74110-5536
Country	:	US
Telephone Number	:	918-836-6454
Fax Number	:	918-836-6455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	12/06/2016

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Directions to “ VERNON CURTIS SMITH DC” Practice Location

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