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Metro Tulsa Foot & Ankle Specialist PLLC

Podiatrist, Foot & Ankle Surgery in Broken Arrow, OK. Organization (NPI-2).

NPI number1477588945
StatusActive
Last updated in NPPESNov 29, 2023

Details

NPI
1477588945
Entity type
Organization (NPI-2)
Legal business name
Metro Tulsa Foot & Ankle Specialist PLLC
Organization subpart
No
Enumeration date
Jul 12, 2006
Last updated
Nov 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery–OKYes

Practice location

701 W. Elgin St
Broken Arrow, OK 74012

Phone 918-455-2001 · Fax 918-301-0088

Mailing address

701 W. Elgin St
Broken Arrow, OK 74012

Phone 918-455-2001 · Fax 918-301-0088

Authorized official

Steven B Smith
Owner
9184552001

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