| NPI | 1376916742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALEXANDER LEBRIJA Podiatrist 580-297-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 304) |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2015-11-07 |