Organization
ALLEN PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD G ALLEN II DPM (OWNER)
(405) 285-8900
Entity
Organization
Contact information
Practice address
3668 W 70TH PL N, TULSA, OK 74126-4384
(727) 492-2159
(405) 285-8921
Mailing address
PO BOX 8574, EDMOND, OK 73083-8574
(405) 285-8900
(405) 285-8921
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
255
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200250140A
—
OK
Enumeration date
09/21/2017
Last updated
09/21/2017
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