Organization
GORDON J BEAN DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON JAMES BEAN DPM (PROVIDER)
(405) 794-6691
Entity
Organization
Contact information
Practice address
3001 S TELEPHONE RD, STE B, MOORE, OK 73160-5424
(405) 794-6691
(405) 794-9856
Mailing address
3001 S TELEPHONE RD, STE B, MOORE, OK 73160-5424
(405) 794-6691
(405) 794-9856
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
185
OK
332B00000X
Durable Medical Equipment & Medical Supplies
185
OK
Other
Enumeration date
01/30/2008
Last updated
01/08/2016
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