Organization
OKLAHOMA MOBILE PODIATRY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DUCK (CHIEF FINANCIAL OFFICER)
(054) 285-8900
Entity
Organization
Contact information
Practice address
2300 S BROADWAY STE 110, EDMOND, OK 73013-4065
(405) 285-8900
(405) 285-8921
Mailing address
2300 S BROADWAY STE 110, EDMOND, OK 73013-4065
(405) 285-8900
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
12/11/2024
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