Organization
FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JAMES GREEN DPM (PRESIDENT)
(405) 418-4505
Entity
Organization
Contact information
Practice address
1703 PROFESSIONAL CIR STE 101, YUKON, OK 73099-6497
(405) 418-4500
(405) 418-4501
Mailing address
PO BOX 268996, OKLAHOMA CITY, OK 73126-8996
(405) 418-4500
(405) 418-4501
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200434410A
—
OK
Enumeration date
07/11/2018
Last updated
10/28/2019
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