| NPI | 1932229424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSEPH TRACZYK Owner 405-787-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 104) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-04-20 |