Organization
GLACIER PODIATRY CLINICS LLC
Active
Parent organization
GLACIER HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLACIER HEALTHCARE LLC
Authorized official
MR. CHAD E HUFFMYER (PRESIDENT)
(405) 285-8900
Entity
Organization
Contact information
Practice address
416 W 15TH ST, SUITE 400B, EDMOND, OK 73013-3747
(405) 285-8900
(405) 285-8921
Mailing address
416 W 15TH ST, SUITE 400B, EDMOND, OK 73013-3747
(405) 285-8900
(405) 285-8921
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
125
OK
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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