OKLAHOMA SPECIALTY PODIATRY SERVICES LLC NPI 1306493754

NPI Information

OKLAHOMA SPECIALTY PODIATRY SERVICES LLC is a podiatric clinic center in Edmond, OK. OKLAHOMA SPECIALTY PODIATRY SERVICES LLC NPI is 1306493754. The provider is registered as an organization entity type.

The provider's business location address is:

4422 WAGONWHEEL RD
EDMOND, OK
ZIP 73034-962
Phone: (405) 204-1703

The provider's authorized official is John M Duck .
The authorized official title is Cfo and has the following contact phone number (405) 471-6190.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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