Individual provider · Type 1 NPI

Mary Leann Smith, MD

Therapeutic Radiology Physician · Oklahoma City, OK

NPI number 1114118700 Active

Practice location

800 NE 10th St, Okcc L100
Oklahoma City, OK 73104-5418

Mailing address

104 NW 31st St, Okcc L100
Lawton, OK 73505-6100

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X25797 (OK)
Nuclear Imaging & Therapy Physician 207UN0902X25797 (OK)
Therapeutic Radiology Physician Primary 2085R0203X25797 (OK)

Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

76 other providers at this address

About NPI 1114118700

Mary Leann Smith, MD's National Provider Identifier is 1114118700, issued on Aug 7, 2007. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 22, 2016.