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Organization

TED R ANDRESS DPM INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TED R ANDRESS DPM (OWNER)
(918) 381-7075
Entity
Organization

Contact information

Practice address
5930 E 31ST ST, #300, TULSA, OK 74135-5114
(918) 622-1660
Mailing address
10024 S 106TH EAST AVE, TULSA, OK 74133-5115
(918) 381-7075

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
100
OK

Other

Enumeration date
10/10/2006
Last updated
08/22/2020
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