Metro Tulsa Foot & Ankle Specialist Pllc

NPI 1881782589

Information of Metro Tulsa Foot & Ankle Specialist Pllc

The NPI 1881782589 is an Organization type. NPI No 1881782589 belongs to Metro Tulsa Foot & Ankle Specialist Pllc. Metro Tulsa Foot & Ankle Specialist Pllc specializes in Foot & Ankle Surgery. is practising at 400 S Mission St, Sapulpa, Oklahoma 74066. You can also contact him via phone number (918) 224-1881.

Practice address located

  • 400 S Mission St
  • Sapulpa, Oklahoma 74066
  • (918) 224-1881
  • (918) 224-1881

Mailling address located

  • Po Box 268860
  • Oklahoma City, Oklahoma 73126
  • (918) 224-1881
  • (918) 224-2108
Metro Tulsa Foot & Ankle Specialist Pllc is PECOS enrolled.
NPI No 1881782589
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes213ES0103XFoot & Ankle Surgery200Oklahoma
Identifier for this provider
StateIdentifierTypeIssuer
OK1168810004Medicare NSCn/a
OK100685820CMedicaidn/a
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