Individual
RICHARD JOSEPH TRACZYK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13921 N. MERIDIAN AVENUE, SUITE 203, OKLAHOMA CITY, OK 73134-1104
(405) 755-7600
(405) 755-7680
Mailing address
PO BOX 960287, OKLAHOMA CITY, OK 73196
(405) 755-7600
(405) 755-7680
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
194
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
194
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100780360B
—
OK
Enumeration date
08/26/2005
Last updated
04/03/2023
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