Organization
THOMAS FOOT AND ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MCKEKENZIE (OFFICE MANAGER)
(405) 943-6200
Entity
Organization
Contact information
Practice address
5300 N GRAND BLVD, SUITE 300, OKLAHOMA CITY, OK 73112-5647
(405) 943-6200
(405) 943-0080
Mailing address
5300 N GRAND BLVD, SUITE 300, OKLAHOMA CITY, OK 73112-5647
(405) 943-6200
(405) 943-0080
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
215
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
STATE SSN
OK
Enumeration date
07/21/2014
Last updated
05/21/2020
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