Individual
MICHAEL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5031
(405) 525-4000
Mailing address
4301 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5031
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LO56
OK
224P00000X
Prosthetist
Primary
90
OK
Other
Enumeration date
11/25/2012
Last updated
09/02/2013
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