NPI 1336571785
Wallace Foot and Ankle Center, PLLC
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
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.