NPI | 1669694170 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN M SHEEHAN President 918-787-6893 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 207) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2008-02-22 |