Organization
FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J. GREEN DPM (PRESIDENT)
(405) 418-4500
Entity
Organization
Contact information
Practice address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(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
290
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200434410A
—
OK
Enumeration date
05/25/2012
Last updated
10/18/2017
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