Provider Demographics
NPI:1275672941
Name:SMITH, SHERYL MCNIVEN (MD)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:MCNIVEN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14024 QUAIL POINTE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1006
Mailing Address - Country:US
Mailing Address - Phone:405-419-8447
Mailing Address - Fax:405-419-7745
Practice Address - Street 1:9800 BROADWAY EXTENSION
Practice Address - Street 2:SUITE 201
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114
Practice Address - Country:US
Practice Address - Phone:405-419-5610
Practice Address - Fax:405-419-5471
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK23961207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery