Organization
OK FOOT & ANKLE SPECIALISTS
Active
Other names
Oklahoma Foot and Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KARI L. JOHNSON (BILLING/CREDENTIALING)
(405) 691-9004
Entity
Organization
Contact information
Practice address
9315 S PENNSYLVANIA AVE, STE A, OKLAHOMA CITY, OK 73159-6913
(405) 691-9004
(405) 691-9003
Mailing address
9315 S PENNSYLVANIA AVE STE A, OKLAHOMA FOOT & ANKLE SPECIALISTS, OKC, OK 73159-6913
(405) 691-9004
(405) 691-9003
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
233
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
289
OK
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034090B
—
OK
05
—
200330230A
—
OK
Enumeration date
03/01/2007
Last updated
04/20/2017
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