Organization Name: | OKLAHOMA FOOT AND ANKLE ASSOCIATES PLLC |
NPI Number: | 1063718674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIE J DOWDY (ACCOUNTS MANAGER) |
Mailing Address: | 3001 S Telephone Road Suite B Moore |
State: | OK US |
Postal Code: | 731605424 |
Phone Number: | 4053409251 |
Fax Number: | 4053400686 |
NPI Enumeration Date: | 01/28/2011 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |