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Contact Information

FOOT AND ANKLE CLINIC OF WESTERN OKLAHOMA, PLLC
900 N MAIN ST
ELK CITY, OK73644-9998
 Phone: 580-225-9955
 Fax: 580-225-9954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT AND ANKLE CLINIC OF WESTERN OKLAHOMA PLLC · (Female)

NPI Number 1821264920
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2008
Last updated 08/28/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 230
  • OK Medicaid 200026900A
  • OK Medicaid 200026910A
  • OK Other 200522085 MEDICARE GROUP
  • OK Other P00162625 RAILROAD MEDICARE
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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