Organization
AIR ORTHOTICS INC
Active
Organization
AIR ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD STEPHEN POTTER CERTIFIED PEDORTHIST (OWNER)
(405) 216-7540
Entity
Organization
Contact information
Practice address
1 S BROADWAY STE 200E, EDMOND, OK 73034-3772
(405) 216-7540
(405) 216-8310
Mailing address
1 S BROADWAY STE 200E, EDMOND, OK 73034-3772
(405) 216-7540
(405) 216-8310
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44
OK
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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