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1306493754
OKLAHOMA SPECIALTY PODIATRY SERVICES LLC
EDMOND, OK
NPI
1306493754
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Entity Type
Organization
Authorized Contact
JOHN M DUCK
CFO
405-471-6190
Organization Subpart ?
No
Primary Taxonomy
261QP1100X Clinic/Center, Podiatric
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
OKLAHOMA SPECIALTY PODIATRY SERVICES LLC
4422 WAGONWHEEL RD
EDMOND, OK 73034-5962
Phone number: 405-204-1703
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Mailing Address
OKLAHOMA SPECIALTY PODIATRY SERVICES LLC
PO BOX 8574
EDMOND, OK 73083-8574
Phone number: 405-471-6190
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