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Organization

OKLAHOMA SPECIALTY PODIATRY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M DUCK (CFO)
(405) 471-6190
Entity
Organization

Contact information

Practice address
4422 WAGONWHEEL RD, EDMOND, OK 73034-5962
(405) 204-1703
Mailing address
PO BOX 8574, EDMOND, OK 73083-8574
(405) 471-6190
(405) 285-8921

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Enumeration date
08/21/2019
Last updated
08/21/2019
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