Whalio Doctors

NPI 1336571785

Wallace Foot and Ankle Center, PLLC

Organisation Foot & Ankle Surgery Podiatrist Oklahoma City, OK

Practice location

Address
608 NW 9th St Suite 4210, Oklahoma City, OK 73102-1068
Phone
(405) 446-8290

Authorised official

Name
Trenton Dale Wallace
Title
Podiatrist
Phone
(405) 446-8290

Registered specialties

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 292 (OK)

Registry record

NPI
1336571785
Entity type
Organization
NPI issued
7 Aug 2013
Record last updated
23 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.