Organization
EDMOND ANKLE & FOOT SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY R MAXWELL DPM (PRESIDENT)
(405) 340-9251
Entity
Organization
Contact information
Practice address
600 W 15TH, EDMOND, OK 73013
(405) 340-9251
(405) 340-0686
Mailing address
600 W 15TH, EDMOND, OK 73013
(405) 340-9251
(405) 340-0686
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
144
OK
Other
Enumeration date
05/08/2007
Last updated
01/26/2012
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