NPI | 1831570910 |
---|---|
Doing Business As | ADVANCED PODIATRY OF BARTLESVILLE |
Entity Type | Organization |
Authorized Contact | NICOLE LYNN CUPP Physician 918-331-6422 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 301) |
Enumeration Date | 2015-06-14 |
Last Update Date | 2015-06-14 |