Organization
DARREN ELENBURG DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN DEAN ELENBURG DPM (OWNER)
(405) 418-2676
Entity
Organization
Contact information
Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(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
226
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119580A
—
OK
Enumeration date
06/26/2007
Last updated
03/02/2020
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