Organization · Type 2 NPI
Oklahoma Specialty Podiatry Services LLC
Podiatric Clinic/Center · Edmond, OK
NPI number
1306493754
Active
Practice location
4422 Wagonwheel Rd
Edmond, OK 73034-5962
Mailing address
PO Box 8574
Edmond, OK 73083-8574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | None listed |
Podiatric Clinic/Center: Definition to come...
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About NPI 1306493754
Oklahoma Specialty Podiatry Services LLC's National Provider Identifier is 1306493754, issued on Aug 21, 2019. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Edmond, OK. The record was last updated on Aug 21, 2019.