Organization
ANDERSON FOOT & ANKLE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D ANDERSON D.P.M. (OWNER)
(405) 360-9338
Entity
Organization
Contact information
Practice address
817 24TH AVE NW, NORMAN, OK 73069-6313
(405) 360-9338
(405) 366-1669
Mailing address
817 24TH AVE NW, NORMAN, OK 73069-6313
(405) 360-9338
(405) 366-1669
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
190
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200052420A
—
OK
Enumeration date
06/01/2007
Last updated
03/17/2018
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