| NPI | 1073032660 |
|---|---|
| Doing Business As | FOMG WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | WARREN K. SPELLMAN CEO 405-779-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OK 239) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-15 |