| NPI | 1346630779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLYN LEE President / CEO 918-991-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 3512263935) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |