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Organization
FAMILY FOOT CARE CENTER INC
Active
Organization
FAMILY FOOT CARE CENTER INC
Active
Other names
Timothy N. Malavolti, D.P.M.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY NICHOLAS MALAVOLTI D.P.M. (PRESIDENT)
(918) 294-3668
Entity
Organization
Contact information
Practice address
9318 S TOLEDO CT, TULSA, OK 74137-2746
(918) 294-3668
(918) 747-2759
Mailing address
9318 S TOLEDO CT, TULSA, OK 74137-2746
(918) 294-3668
(918) 747-2759
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
158
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127860A
—
OK
Enumeration date
10/23/2006
Last updated
05/10/2013
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