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Muskogee Foot Clinic Inc.

NPI #1568655488 in Muskogee, Oklahoma

Provider Information

NPI Number
1568655488
Entity Type
Organization
Organization Name
Muskogee Foot Clinic Inc.
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Aug 23, 2007
Last Updated
Jun 18, 2010

Practice Location

Address
2400 W BROADWAY ST
City
Muskogee
State
Oklahoma
ZIP Code
74401-2763
Phone
(918) 687-5171

Authorized Official

Name
DR. DAVID LACY GREEN, D.P.M.
Title
PODIATRIST
Phone
(918) 687-5171

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery

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