NPI | 1184907859 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN SMITH CFO 405-245-6238 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
Enumeration Date | 2011-09-20 |
Last Update Date | 2024-05-05 |