Organization
LIMB SALVAGE INTERNATIONAL
Active
Other names
LSI Foot Clinic #1
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REED K BURK DPM (OWNER)
(918) 458-9888
Entity
Organization
Contact information
Practice address
3413 N 14TH ST, PONCA CITY, OK 74601-1039
(580) 718-0002
(580) 718-0003
Mailing address
1 PLAZA SOUTH ST PMB 140, TAHLEQUAH, OK 74464-4750
(918) 458-9888
(918) 458-9977
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
201
OK
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
202
OK
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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