Individual provider · Type 1 NPI

Ruston Garrett Smith

Student in an Organized Health Care Education/Training Program · Durant, OK

NPI number 1669146387 Active

Practice location

1405 N 4th Ave
Durant, OK 74701-3330

Fax (580) 745-2518

Mailing address

3802 W University Blvd Apt 11
Durant, OK 74701-3019

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669146387

Ruston Garrett Smith's National Provider Identifier is 1669146387, issued on Aug 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Durant, OK. The record was last updated on Aug 5, 2021.