| 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 |