Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1710256003 |
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| LBN Legal business name | OZARK FOOT & ANKLE PLC | ||||
| Authorized official | JAMES BRANTLEY - (MANAGING MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/15/2011 | ||||
| Last updated | 08/09/2013 - About 13 years ago | ||||
| Identifiers |
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