Organization
DARREN ELENBURG DPM PC
Active
Parent organization
DARREN ELENBURG DPM PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DARREN ELENBURG DPM PC
Authorized official
DARREN DEAN ELENBURG DPM (OWNER)
(405) 418-2676
Entity
Organization
Contact information
Practice address
507 NE 12TH ST, MOORE, OK 73160-5807
(405) 418-2676
(405) 418-2677
Mailing address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-2676
(405) 418-2677
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200120470A
—
OK
Enumeration date
10/03/2019
Last updated
10/03/2019
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