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Organization
FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC
Active
Organization
FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC
Active
Other names
Foot and Ankle Clinic of Western Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY D NELSON DPM (PROVIDER/OWNER)
(580) 323-5800
Entity
Organization
Contact information
Practice address
207 S 30TH STREET, CLINTON, OK 73601-3657
(580) 323-5800
(580) 323-5802
Mailing address
207 SOUTH 30TH STREET, CLINTON, OK 73601
(580) 323-5800
(580) 323-5802
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026900A
—
OK
01
—
P00162625
RAILROAD MEDICARE
OK
Enumeration date
08/01/2005
Last updated
08/27/2025
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