DARREN ELENBURG DPM PC, Podiatrist MOORE, OK

Contact Information

DARREN ELENBURG DPM PC

507 NE 12TH ST
MOORE, OK 73160-5807

Phone: 405-418-2676
Fax: 405-418-2677
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for DARREN ELENBURG DPM PC · (Female)

NPI #	`1477194199`
Status	Active
Credentials
Entity	Individual
Enumeration date	10/03/2019
Last updated	10/03/2019 - About 7 years ago
Sole proprietor ¹	Not specified
Identifiers	OK Medicaid 200120470A
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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