IndividualActive
Aerial Avery, D.P.M
NPI 1194915538 · Podiatrist · Ada, OK
Provider details
- NPI number
- 1194915538
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M
- Sex
- Male
- Sole proprietor
- No
- License
- 388 (OK)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1921 Stonecipher Blvd
Ada, OK 74820-3439
Phone: (580) 436-3980
Fax: (580) 421-6283
Approximate (ZIP-level) locationGet directions
Mailing address
1921 Stonecipher Blvd
Ada, OK 74820-3439
Registry dates
- Enumerated
- 2007-08-01
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.