Oklahoma Specialty Podiatry Services LLC

NPI #1306493754 in Edmond, Oklahoma

Provider Information

NPI Number
1306493754
Entity Type
Organization
Organization Name
Oklahoma Specialty Podiatry Services LLC
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Aug 21, 2019
Last Updated
Aug 21, 2019

Practice Location

Address
4422 WAGONWHEEL RD
City
Edmond
ZIP Code
73034-5962
Phone
(405) 204-1703

Authorized Official

Name
JOHN M DUCK
Title
CFO
Phone
(405) 471-6190

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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