Provider Demographics
NPI:1568011344
Name:OKLAHOMA FOOT AND ANKLE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:OKLAHOMA FOOT AND ANKLE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-794-6691
Mailing Address - Street 1:3001 S TELEPHONE RD # B
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2942
Mailing Address - Country:US
Mailing Address - Phone:405-794-6691
Mailing Address - Fax:405-794-9856
Practice Address - Street 1:3700 N KICKAPOO AVE STE 104
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-0007
Practice Address - Country:US
Practice Address - Phone:405-794-6691
Practice Address - Fax:405-794-9856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty