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Contact Information

FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC
207 S 30TH STREET
CLINTON, OK73601-3657
 Phone: 580-323-5800
 Fax: 580-323-5802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC

NPI # 1013917012
LBN Legal business name FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC
Authorized official BRADLEY NELSON - (PROVIDER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2005
Last updated 08/27/2025 - About 9 months ago
Identifiers
OK Medicaid 200026900A
OK Other P00162625 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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