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Edmond Podiatry Associates Llc
Clinic/Center in Edmond, Oklahoma
NPI 1033362231

Edmond Podiatry Associates Llc is a Clinic/Center based in Atlanta, OK. Edmond Podiatry Associates Llc practices in Edmond, OK. The NPI Number for Edmond Podiatry Associates Llc is 1033362231 and holds a License No. (Oklahoma).

The current practice location address for Edmond Podiatry Associates Llc is 105 S Bryant Ave Ste 104, Edmond, OK and can be reached out via phone at 405-715-3102 and via fax at 405-715-2905.

Location: 105 S Bryant Ave Ste 104, Edmond, OK, 30374-4506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033362231
Provider Name
Edmond Podiatry Associates Llc
Credential
Provider Entity Type
Organization
Address
105 S Bryant Ave Ste 104, Edmond, OK, 30374-4506
Phone Number
405-715-3102
Fax Number
405-715-2905
Provider Enumeration Date
10/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200223730A 05 OK
institution
Provider Business Practice Location Address Details
Address
105 S Bryant Ave Ste 104
City
Edmond
State
Oklahoma
Zip
73034-6361
Phone Number
405-715-3102
Fax Number
405-715-2905
person
Provider Business Mailing Address Details
Address
105 S Bryant Ave Ste 104
City
Edmond
State
Oklahoma
Zip
73034-6361
Phone Number
405-715-3102
Fax Number
405-715-2905
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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