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Organization
RESTORATION FOOT & ANKLE PLLC
Active
Organization
RESTORATION FOOT & ANKLE PLLC
Active
Parent organization
RESTORATION FOOT & ANKLE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORATION FOOT & ANKLE PLLC
Authorized official
DR. BRADLEY D BEALSEY DPM (PHYSICIAN/OWNER)
(918) 274-1557
Entity
Organization
Contact information
Practice address
800 W BOISE CIRCLE, SUITE 270, BROKEN ARROW, OK 74012
(918) 274-1557
(918) 274-8557
Mailing address
DEPT 618, PO BOX 3500, CLAREMORE, OK 74018-3500
(918) 274-1557
(918) 274-8557
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
03/14/2012
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