OrganizationActive
Oklahoma Mobile Podiatry Services LLC
NPI 1699339804 · Primary Podiatric Medicine Podiatrist · Edmond, OK
Provider details
- NPI number
- 1699339804
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- John Duck, Chief Financial Officer
Practice location
2300 S Broadway Ste 110
Edmond, OK 73013-4065
Phone: (405) 285-8900
Fax: (405) 285-8921
Mailing address
2300 S Broadway Ste 110
Edmond, OK 73013-4065
Registry dates
- Enumerated
- 2019-04-24
- Last updated
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.