Organization
MERIDIAN CLINIC, INC
Active
Other names
peter quoc le
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER QUOC LE D.P.M (OWNER)
(405) 943-9820
Entity
Organization
Contact information
Practice address
2201 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-2629
(405) 943-9820
(405) 947-6908
Mailing address
2201 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-2629
(405) 943-9820
(405) 947-6908
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100780320A
—
OK
05
—
100780320B
—
OK
01
—
6319270001
CIGNA GOVERNMENT
OK
Enumeration date
04/23/2009
Last updated
04/29/2010
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