Provider Demographics
NPI:1932250677
Name:SMITH, DAMON LOYD (DVM)
Entity Type:Individual
Prefix:DR
First Name:DAMON
Middle Name:LOYD
Last Name:SMITH
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 N GARNETT RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-4452
Mailing Address - Country:US
Mailing Address - Phone:918-272-4704
Mailing Address - Fax:918-272-4903
Practice Address - Street 1:9100 N GARNETT RD
Practice Address - Street 2:SUITE E
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4452
Practice Address - Country:US
Practice Address - Phone:918-272-4704
Practice Address - Fax:918-272-4903
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2883174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian