Organization
SOLE FX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DOUGHERTY CPED, LPED (OWNER)
(918) 609-6136
Entity
Organization
Contact information
Practice address
12711 E 86TH PL N, SUITE 105, OWASSO, OK 74055-2695
(918) 609-6136
(918) 609-6136
Mailing address
12711 E 86TH PL N, SUITE 105, OWASSO, OK 74055-2695
(918) 609-6136
(918) 609-6136
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
104
OK
335E00000X
Prosthetic/Orthotic Supplier
104
OK
Other
Enumeration date
10/31/2007
Last updated
04/22/2008
Update your record
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