# CARSON FOOT & ANKLE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861056459
- **Authorized official:** DR. MATTHEW CARSON DPM (PODIATRIST)
- **Authorized official phone:** (405) 326-2660

## Contact information

- **Practice address:** 817 24TH AVE NW, NORMAN, OK 73069-6313
- **Practice address phone:** (405) 329-3929
- **Mailing address:** 41 SEMINOLE TRL, CRANSTON, RI 02921-2552
- **Mailing address phone:** (405) 326-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2019
- **Last updated:** 04/29/2019
