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Contact Information

DARREN ELENBURG DPM PC
507 NE 12TH ST
MOORE, OK73160-5807
 Phone: 405-418-2676
 Fax: 405-418-2677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DARREN ELENBURG DPM PC

NPI Number 1477194199
LBN Legal business name DARREN ELENBURG DPM PC
Authorized official DARREN ELENBURG - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/03/2019
Last updated 10/03/2019 - About 7 years ago
Identifiers
OK Medicaid 200120470A
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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