Organization
TOTAL FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY TRENT SMITH DPM (OWNER)
(405) 947-8041
Entity
Organization
Contact information
Practice address
3330 NW 56TH ST, SUITE 600, OKLAHOMA CITY, OK 73112-4479
(405) 947-8041
(405) 947-8043
Mailing address
3330 NW 56TH ST, SUITE 600, OKLAHOMA CITY, OK 73112-4479
(405) 947-8041
(405) 947-8043
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
244
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168927374001
BLUE CROSS OF OK
OK
01
—
612764700
DEPARTMENT OF LABOR
—
Enumeration date
02/16/2007
Last updated
04/02/2012
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