Organization
TGG PROSTHETICS AND ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEE FOSTER CPO (OWNER / PROSTHETIST / ORTHOTIST)
(405) 514-8774
Entity
Organization
Contact information
Practice address
125 E 3RD ST, SUITE C, EDMOND, OK 73034-3821
(405) 514-8774
Mailing address
125 E 3RD ST, SUITE C, EDMOND, OK 73034-3821
(405) 514-8774
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
LO 39
OK
335E00000X
Prosthetic/Orthotic Supplier
Primary
LP 39
OK
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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