| Comprehensive Medical Foot Care Llc | |
|
2605 S Beech Ave Broken Arrow OK 74012-7304 | |
| (918) 607-6533 | |
| (918) 615-6963 |
| Full Name | Comprehensive Medical Foot Care Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2605 S Beech Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Steve Virgil Gregory (GENERAL MANAGER) |
| Authorized Official Contact | 9186076533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Medical Foot Care Llc 2605 S Beech Ave Broken Arrow OK 74012-7304 Ph: (918) 607-6533 | Comprehensive Medical Foot Care Llc 2605 S Beech Ave Broken Arrow OK 74012-7304 Ph: (918) 607-6533 |
| NPI Number | 1558513838 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558513838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2684 (Oklahoma) | Primary |
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