BROOKE K STOUGH DPM; NPI #1699019869

Contact Information

BROOKE K STOUGH DPM

1113 WINCHESTER AVE
ENID, OK 73703-8401

Phone: 405-210-8071
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BROOKE K STOUGH DPM

NPI Number 1699019869

LBN Legal business name BROOKE K STOUGH DPM

Authorized official BROOKE STOUGH - (PODIATRIST/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/12/2012

Last updated 11/12/2012 - About 14 years ago

Identifiers

OK	License #	297
OK	Medicaid	200441760A

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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BROOKE K STOUGH DPM

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BROOKE K STOUGH DPM

Reviews for BROOKE K STOUGH DPM