Organization
RESTORATION FOOT & ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY D BEASLEY DPM (OWNER/PHYSICIAN)
(918) 274-1557
Entity
Organization
Contact information
Practice address
800 W BOISE CIR, SUITE 150, BROKEN ARROW, OK 74012-4906
(918) 274-1557
(918) 274-8557
Mailing address
PO BOX 3500, DEPT NO 618, CLAREMORE, OK 74018-3500
(918) 274-1557
(918) 274-8557
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
232
OK
Other
Enumeration date
11/27/2007
Last updated
10/08/2014
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