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Contact Information

METRO TULSA FOOT & ANKLE SPECIALIST PLLC
701 W. ELGIN ST
BROKEN ARROW, OK74012
 Phone: 918-455-2001
 Fax: 918-301-0088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for METRO TULSA FOOT ANKLE SPECIALIST PLLC · (Female)

NPI Number 1477588945
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2006
Last updated 11/29/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 100685820C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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