Organization
KEVIN DUX DPM INC PC
Active
Other names
Muskogee Institute of Foot and Ankle Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DUX DPM (OWNER)
(918) 681-4488
Entity
Organization
Contact information
Practice address
101 ROCKEFELLER DR, SUITE 204, MUSKOGEE, OK 74401-5056
(918) 681-4488
(918) 681-4499
Mailing address
101 ROCKEFELLER DR, SUITE 204, MUSKOGEE, OK 74401-5056
(918) 681-4488
(918) 681-4499
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
OK
332B00000X
Durable Medical Equipment & Medical Supplies
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6961760001
MEDICARE NSC
OK
Enumeration date
08/26/2013
Last updated
06/04/2014
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