| NPI | 1669642351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JAMES DITMARS President 405-262-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 142) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OK 142) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-03-04 |