| NPI | 1881826923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HALE PITTMAN Owner 918-682-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 257) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2013-10-01 |