Organization
ELITE FOOTCARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN STOLLER DPM (PRESIDENT)
(918) 502-5300
Entity
Organization
Contact information
Practice address
6585 S YALE AVE, SUITE 1110, TULSA, OK 74136-8384
(918) 502-5300
(918) 502-5301
Mailing address
6585 S YALE AVE, SUITE 1110, TULSA, OK 74136-8384
(918) 502-5300
(918) 502-5301
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E 4700
CA
Other
Enumeration date
09/29/2008
Last updated
10/13/2014
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