# MERIDIAN FAMILY FOOT AND ANKLE CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760754428
- **Authorized official:** GARY D FORSYTHE (CLINIC MANAGER)
- **Authorized official phone:** (405) 751-6152

## Contact information

- **Practice address:** 13301 N. MERIDIAN, SUITE 701, OKC, OK 73120-8357
- **Practice address phone:** (405) 751-6152
- **Practice address fax:** (405) 752-5158
- **Mailing address:** 13301 N. MERIDIAN, SUITE 701, OKC, OK 73120-8357
- **Mailing address phone:** (405) 751-6152
- **Mailing address fax:** (405) 752-5158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 250 | OK | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 05/24/2012