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Organization
WALLACE FOOT AND ANKLE CENTER, PLLC
Active
Organization
WALLACE FOOT AND ANKLE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENTON DALE WALLACE DPM (PODIATRIST)
(405) 446-8290
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 4210, OKLAHOMA CITY, OK 73102-1068
(405) 446-8290
Mailing address
608 NW 9TH ST, SUITE 4210, OKLAHOMA CITY, OK 73102-1068
(405) 446-8290
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
292
OK
Other
Enumeration date
08/07/2013
Last updated
06/23/2016
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