| NPI | 1124202197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW H ROBERTS Owner 918-540-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 223) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-12-02 |