Organization
SOUTHERN OKLAHOMA FOOT TECHNOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE WAYNE JOHNS (OWNER)
(918) 567-4250
Entity
Organization
Contact information
Practice address
RR 2 BOX 1755, HWY 63A N PASSED VO TECH 1 MILE, TALIHINA, OK 74571-9517
(918) 567-4250
(918) 567-2087
Mailing address
PO BOX 897, TALIHINA, OK 74571-0897
(918) 567-4250
(918) 567-2087
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/12/2006
Last updated
04/20/2008
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