# RESTORATION FOOT & ANKLE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RESTORATION FOOT & ANKLE PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235462821
- **Legal business name:** RESTORATION FOOT & ANKLE PLLC
- **Authorized official:** DR. BRADLEY D BEALSEY DPM (PHYSICIAN/OWNER)
- **Authorized official phone:** (918) 274-1557

## Contact information

- **Practice address:** 800 W BOISE CIRCLE, SUITE 270, BROKEN ARROW, OK 74012
- **Practice address phone:** (918) 274-1557
- **Practice address fax:** (918) 274-8557
- **Mailing address:** DEPT 618, PO BOX 3500, CLAREMORE, OK 74018-3500
- **Mailing address phone:** (918) 274-1557
- **Mailing address fax:** (918) 274-8557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 03/14/2012