| NPI | 1699908467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER QUOC LE President 405-943-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: OK pod209) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |