| NPI | 1346731742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MARTINCEVIC Owner 405-227-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3871) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |