Organization
CENTURY MEDICAL LLC
Active
Other names
Healthy Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY ALLEN WEST C. PED, CRT (PRES CEO)
(405) 286-1100
Entity
Organization
Contact information
Practice address
3601 S BROADWAY STE 500, EDMOND, OK 73013-4140
(405) 286-1100
(405) 286-6207
Mailing address
3601 S BROADWAY STE 500, EDMOND, OK 73013-4140
(405) 286-1100
(405) 286-6207
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
897705
OK
Other
Enumeration date
08/22/2007
Last updated
05/13/2008
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