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Contact Information

WOODWARD FOOT CLINIC PLLC
1712 MAIN ST
WOODWARD, OK73801-2939
 Phone: 580-256-8603
 Fax: 580-256-8604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for WOODWARD FOOT CLINIC PLLC

NPI # 1831217082
LBN Legal business name WOODWARD FOOT CLINIC PLLC
Authorized official FRANK AARON - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2007
Last updated 06/11/2008 - About 18 years ago
Identifiers
OK License # 127
OK Medicaid 200117750A
OK Medicaid 200117750B
OK Other DG6805 PALMETTO GBA
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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