Organization · Type 2 NPI
Limb Salvage International, Inc
Foot & Ankle Surgery Podiatrist · Ponca City, OK
NPI number
1154657948
Active
Practice location
2210 N 14th St
Ponca City, OK 74604
Fax (580) 718-0003
Mailing address
1 Plaza South St, Pmb 140
Tahlequah, OK 74464-4750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 23029 (OK) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 201 (OK) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1154657948
Limb Salvage International, Inc's National Provider Identifier is 1154657948, issued on Oct 29, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Ponca City, OK. The record was last updated on Oct 29, 2009.