Organization
EDMOND PODIATRY ASSOCIATES LLC
Active
Other names
Central Oklahoma Foot and Ankle Center of Edmond
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JONES (DIRECTOR OF PATIENT ACCOUNTING)
(405) 271-8132
Entity
Organization
Contact information
Practice address
105 S BRYANT AVE STE 104, EDMOND, OK 73034-6361
(405) 715-3102
(405) 715-2905
Mailing address
PO BOX 744506, ATLANTA, GA 30374-4506
(405) 271-8132
(405) 271-5006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200223730A
—
OK
Enumeration date
10/31/2008
Last updated
02/13/2019
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