Organization
AMERICAN FOOT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DALE HALL IX DPM (PHYSICIAN)
(405) 733-2783
Entity
Organization
Contact information
Practice address
5480 MAIN ST STE 105, DEL CITY, OK 73115-5517
(405) 733-2783
(405) 741-2804
Mailing address
5480 MAIN ST STE 105, DEL CITY, OK 73115-5517
(405) 733-2783
(405) 741-2804
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0126
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116430A
—
OK
01
—
481120770
RAILROAD MEDICARE
OK
01
—
731193914001
BCBS
OK
Enumeration date
10/02/2006
Last updated
05/08/2015
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