Pedorthic Footcare of Oklahoma
NPI #1093080905 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1093080905
- Entity Type
- Organization
- Organization Name
- Pedorthic Footcare of Oklahoma
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Mar 12, 2012
- Last Updated
- Apr 12, 2012
Practice Location
- Address
- 5100 N BROOKLINE AVE STE 330
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-3603
- Phone
- (405) 924-7306
Authorized Official
- Name
- MR. KEVIN JAEGER, CPED, LPED
- Title
- CERTIFIED & LICENSED PEDORTHIST
- Phone
- (405) 924-7306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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