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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 17, 2024 6:57 PM CDT
Next Update: Thursday, April 18, 2024 2:50 AM CDT

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SMITH, MALCOLM DEREK
Practice Address: 1700 N 5TH
PONCA CITY OK 74601

Address last updated on 5/14/2004
Phone #: (580) 765-3389
Fax #:
County: KAY
License: 198
Dated: 8/14/1998
Expires: 6/30/2024
License Type: Podiatrist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
CME Year: 2024
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Hospital Privileges: None listed
Locations: Hours: Languages:
1700 N 5TH
PONCA CITY OK 74601

Phone #: (580) 765-3389
Fax #:

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