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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