Organization
CLAREMORE PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JOHNSON D.P.M. (OWNER/PHYSICIAN)
(918) 341-6821
Entity
Organization
Contact information
Practice address
1218 N FLORENCE AVE, CLAREMORE, OK 74017-3109
(918) 341-6821
(918) 342-8128
Mailing address
1218 N FLORENCE AVE, CLAREMORE, OK 74017-3109
(918) 341-6821
(918) 342-8128
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051750A
—
OK
Enumeration date
07/22/2006
Last updated
04/17/2008
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