Individual
SETH DEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C-PED, L-PED
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 923-3577
Mailing address
3009 NW 19TH ST, OKLAHOMA CITY, OK 73107-3912
(405) 923-3577
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
150
OK
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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