MICHAEL CARROLL

OKLAHOMA CITY, OK
NPI1205170685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: OK  90)
Additional Taxonomies222Z00000X Orthotist
(Licence: OK  LO56)
Enumeration Date2012-11-25
Last Update Date2013-09-02
Business Address
-- MICHAEL CARROLL
4301 N CLASSEN BLVD
OKLAHOMA CITY, OK 73118-5031
Phone number: 405-525-4000
Mailing Address
-- MICHAEL CARROLL
4301 N CLASSEN BLVD
OKLAHOMA CITY, OK 73118-5031
Phone number:
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