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Organization
MERIDIAN FOOT CLINIC INC
Active
Organization
MERIDIAN FOOT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD WAYNE HINES DPM (OWNER OF CORPORATION)
(405) 751-6152
Entity
Organization
Contact information
Practice address
13301 N MERIDIAN, BLDG 700 SUITE 701, OKLA CITY, OK 73120-9369
(405) 751-6152
(405) 752-5158
Mailing address
13301 N MERIDIAN, BLDG 700 SUITE 701, OKLA CITY, OK 73120-9369
(405) 751-6152
(405) 752-5158
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
113
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023011616
INDIVIDUAL NPI
OK
Enumeration date
06/02/2006
Last updated
04/20/2008
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