Provider Demographics
NPI:1346459443
Name:SMITH, VERNON SORUIX (DO)
Entity Type:Individual
Prefix:MR
First Name:VERNON
Middle Name:SORUIX
Last Name:SMITH
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 1213
Mailing Address - Street 2:
Mailing Address - City:INOLA
Mailing Address - State:OK
Mailing Address - Zip Code:74036-1213
Mailing Address - Country:US
Mailing Address - Phone:918-543-3890
Mailing Address - Fax:918-543-6543
Practice Address - Street 1:15255 E. 600 RD
Practice Address - Street 2:
Practice Address - City:INOLA
Practice Address - State:OK
Practice Address - Zip Code:74036-1213
Practice Address - Country:US
Practice Address - Phone:918-543-3890
Practice Address - Fax:918-543-6543
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK17012080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine