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Organization
SMITH PODIATRIC SERVICES PLLC
Active
Organization
SMITH PODIATRIC SERVICES PLLC
Active
Other names
AFFILIATED FOOT & ANKLE CLINICS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL A WATTS (OFFICE MANAGER)
(405) 275-8234
Entity
Organization
Contact information
Practice address
1627 N KICKAPOO AVE, SHAWNEE, OK 74804-4313
(405) 275-8234
(405) 275-7298
Mailing address
1627 N KICKAPOO AVE, SHAWNEE, OK 74804-4313
(405) 275-8234
(405) 275-7298
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
152
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
205
OK
Other
Enumeration date
03/14/2007
Last updated
11/23/2010
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