Organization
FAMILY FOOT CARE CENTER INC
Active
Other names
Timothy N. Malavolti, D.P.M.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY NICHOLAS MALAVOLTI D.P.M. (PRESIDENT)
(918) 294-3668
Entity
Organization
Contact information
Practice address
9318 S TOLEDO CT, TULSA, OK 74137-2746
(918) 294-3668
(918) 747-2759
Mailing address
9318 S TOLEDO CT, TULSA, OK 74137-2746
(918) 294-3668
(918) 747-2759
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
158
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127860A
—
OK
Enumeration date
10/23/2006
Last updated
05/10/2013
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