| NPI | 1629112636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY TRENT SMITH Owner 405-947-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 244) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-04-02 |