Organization
MUSKOGEE FOOT CLINIC INC.
Active
Other names
Muskogee Foot Clinic inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LACY GREEN D.P.M. (PODIATRIST)
(918) 687-5171
Entity
Organization
Contact information
Practice address
2400 W BROADWAY ST, MUSKOGEE, OK 74401-2763
(918) 687-5171
(918) 687-7150
Mailing address
2400 W BROADWAY ST, MUSKOGEE, OK 74401-2763
(918) 687-5171
(918) 687-7150
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
06/18/2010
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