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Organization
OKLAHOMA SENIOR PODIATRY SERVICES, P.C.
Active
Organization
OKLAHOMA SENIOR PODIATRY SERVICES, P.C.
Active
Other names
Aggeus Oklahoma Podiatry Services, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM K. SMITH SR. D.P.M. (OWNER/PRESIDENT)
(866) 216-5518
Entity
Organization
Contact information
Practice address
3208 BRUSH CREEK RD., OKLAHOMA CITY, OK 73120-1852
(866) 216-5518
(312) 277-6757
Mailing address
10 S RIVERSIDE PLZ, STE 19 EAST, CHICAGO, IL 60606-3728
(773) 770-0140
(312) 277-6757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444490A
—
OK
Enumeration date
01/03/2012
Last updated
09/11/2012
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