NPI | 1508949256 |
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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 Podiatrist, Foot Surgery (Licence: OK 158) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2013-05-10 |