Organization
OKLAHOMA SENIOR PODIATRY SERVICES, P.C.
Active
Other names
Aggeus Oklahoma Podiatry Services, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM K. SMITH SR. D.P.M. (OWNER/PRESIDENT)
(866) 216-5518
Entity
Organization
Contact information
Practice address
3208 BRUSH CREEK RD., OKLAHOMA CITY, OK 73120-1852
(866) 216-5518
(312) 277-6757
Mailing address
10 S RIVERSIDE PLZ, STE 19 EAST, CHICAGO, IL 60606-3728
(773) 770-0140
(312) 277-6757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444490A
—
OK
Enumeration date
01/03/2012
Last updated
09/11/2012
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