Organization
SOUTHERN OKLAHOMA PODIATRY SERVICES PLLC
Active
Other names
Ardmore Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD B LANDIS D.P.M. (OWNER)
(580) 223-0718
Entity
Organization
Contact information
Practice address
2002 12TH AVE NW, SUITE F, ARDMORE, OK 73401-1227
(580) 223-0718
(580) 223-0719
Mailing address
2002 12TH AVE NW, SUITE F, ARDMORE, OK 73401-1227
(580) 223-0718
(580) 223-0719
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200281600A
—
OK
Enumeration date
01/10/2007
Last updated
07/29/2020
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