| NPI | 1851727770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DALE GRAY President/CEO 405-919-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: OK 289) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |