| NPI Details | |
|---|---|
| NPI | 1124042809 |
| Enumeration Date | 07/27/2006 |
| Last Updated | 11/15/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | THERESA ANNE THERESA |
| Position | OWNER |
| Phone | (918) 287-1400 |
| Fax | (918) 287-1814 |
| Practice Location | |
|---|---|
| 606 KIHEKAH AVE PAWHUSKA OK, 74056-4225, US |
|
| Phone | (918) 287-1400 |
| Fax | (918) 287-1814 |
| Business Location | |
|---|---|
| 606 KIHEKAH AVE PAWHUSKA OK, 74056-4225, US |
|
| Phone | (918) 287-1400 |
| Fax | (918) 287-1814 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QP3300X |
| License State | |
| License Number | |
| Remove 1124042809 NPI Number | |
According to our database, Footcare & More Llc NPI is 1124042809, taxonomy code is 261QP3300X Footcare & More Llc physically located at 606 Kihekah Ave, Pawhuska OK, 74056-4225. NPI Number 1033115704 has the healthcare provider type.
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1124042809 NPI number is provided on an as is basis without warranty of any kind. 1124042809 is maintained by the National Plan & Provider Enumeration System. The contents of Footcare & More Llc are for informational purposes only.
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