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 |