| |
129 N Kentucky St, Pryor, OK 74361-4211 | |
(918) 542-5551 | |
(918) 542-1666 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 129 N Kentucky St, Pryor, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1699865493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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129 N Kentucky St, Pryor, OK 74361-4211 Ph: (918) 825-1600 | 129 N Kentucky St, Pryor, OK 74361-4211 Ph: (918) 542-5551 |