Organization
FOOT AND ANKLE CLINIC OF STILLWATER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANTON CROTTY DPM (PRESIDENT)
(405) 743-3668
Entity
Organization
Contact information
Practice address
120 N PERKINS RD, STE A, STILLWATER, OK 74075-5524
(405) 743-3668
(405) 743-1718
Mailing address
120 N PERKINS RD, STE A, STILLWATER, OK 74075-5524
(405) 743-3668
(405) 743-1718
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
167
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480179134
RAILROAD MEDICARE
—
01
—
731313428001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
07/02/2008
Last updated
04/24/2012
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