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Contact Information

ANDERSON FOOT & ANKLE CLINIC PC
817 24TH AVE NW
NORMAN, OK73069-6313
 Phone: 405-360-9338
 Fax: 405-366-1669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANDERSON FOOT & ANKLE CLINIC PC

NPI Number 1770785966
LBN Legal business name ANDERSON FOOT & ANKLE CLINIC PC
Authorized official CHARLES ANDERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2007
Last updated 03/17/2018 - About 8 years ago
Identifiers
OK License # 190
OK Medicaid 200052420A
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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