Restoration Foot & Ankle Pllc
NPI #1174705602 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1174705602
- Entity Type
- Organization
- Organization Name
- Restoration Foot & Ankle Pllc
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Nov 27, 2007
- Last Updated
- Oct 8, 2014
Practice Location
- Address
- 800 W BOISE CIR
- Address 2
- SUITE 150
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4906
- Phone
- (918) 274-1557
Authorized Official
- Name
- DR. BRADLEY D BEASLEY, DPM
- Title
- OWNER/PHYSICIAN
- Phone
- (918) 274-1557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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