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Organization
MUSKOGEE FOOT CLINIC INC.
Active
Organization
MUSKOGEE FOOT CLINIC INC.
Active
Other names
Muskogee Foot Clinic inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LACY GREEN D.P.M. (PODIATRIST)
(918) 687-5171
Entity
Organization
Contact information
Practice address
2400 W BROADWAY ST, MUSKOGEE, OK 74401-2763
(918) 687-5171
(918) 687-7150
Mailing address
2400 W BROADWAY ST, MUSKOGEE, OK 74401-2763
(918) 687-5171
(918) 687-7150
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
06/18/2010
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