Organization
ANKLE AND FOOT CLINIC OF ENID, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ALEXANDER LEBRIJA D.P.M. (PODIATRIST)
(580) 297-5184
Entity
Organization
Contact information
Practice address
915 E GARRIOTT RD, SUITE J, ENID, OK 73701-6156
(580) 297-5184
(580) 297-5187
Mailing address
915 E GARRIOTT RD, SUITE J, ENID, OK 73701-6156
(580) 297-5184
(580) 297-5187
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
304
OK
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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