Organization
MERIDIAN FAMILY FOOT AND ANKLE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D FORSYTHE (CLINIC MANAGER)
(405) 751-6152
Entity
Organization
Contact information
Practice address
13301 N. MERIDIAN, SUITE 701, OKC, OK 73120-8357
(405) 751-6152
(405) 752-5158
Mailing address
13301 N. MERIDIAN, SUITE 701, OKC, OK 73120-8357
(405) 751-6152
(405) 752-5158
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
250
OK
Other
Enumeration date
01/27/2012
Last updated
05/24/2012
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