METRO TULSA FOOT & ANKLE SPECIALIST PLLC; NPI #1477588945

Contact Information

METRO TULSA FOOT & ANKLE SPECIALIST PLLC

701 W. ELGIN ST
BROKEN ARROW, OK 74012

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

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NPI Profile & details for METRO TULSA FOOT & ANKLE SPECIALIST PLLC

NPI Number 1477588945

LBN Legal business name METRO TULSA FOOT & ANKLE SPECIALIST PLLC

Authorized official STEVEN SMITH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/12/2006

Last updated 11/29/2023 - About 3 years ago

Identifiers

Medicaid

100685820C

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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