| NPI | 1699019869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE KELLEY STOUGH Podiatrist/Owner 405-210-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 297) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |