NPI | 1962747444 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J. GREEN President 405-418-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 290) |
Enumeration Date | 2012-12-10 |
Last Update Date | 2018-03-17 |