| NPI | 1508949256 |
|---|---|
| Doing Business As | TIMOTHY N. MALAVOLTI, D.P.M. |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY NICHOLAS MALAVOLTI President 918-294-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: OK 158) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-05-10 |