| NPI | 1174705602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY D BEASLEY Owner/Physician 918-274-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 232) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2014-10-08 |