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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MALCOLM DEREK SMITH, DPM

Active

DR. MALCOLM DEREK SMITH, DPM is a Podiatrist healthcare provider located in PONCA CITY, Oklahoma. NPI 1093732562 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · PONCA CITY, OK

Registration Details

NPI Number
1093732562
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (20.056917585054 yrs)
Last Updated
Apr 22, 2008
License
198 (OK)

Practice Information

Address
1700 N 5TH ST
PONCA CITY, OK, 746012762
Browse OK providers · Browse ZIP 74601
Phone
5807653389
Fax
5807623994
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.