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Dr. Jody Gene Rose, DPM
Podiatrist in Yukon, Oklahoma
NPI 1184623001

Jody Gene Rose is a Podiatrist based in Yukon, OK. Jody Gene Rose practices in Yukon, OK and has the professional credentials of DPM. The NPI Number for Jody Gene Rose is 1184623001 and holds a License No. 204 (Oklahoma).

The current practice location address for Jody Gene Rose is 4400 Grant Blvd Ste 110, Yukon, OK and can be reached out via phone at 405-733-1711 and via fax at 405-733-3111.

Location: 4400 Grant Blvd Ste 110, Yukon, OK, 73099-0038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184623001
Provider Name
Jody Gene Rose
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4400 Grant Blvd Ste 110, Yukon, OK, 73099-0038
Phone Number
405-733-1711
Fax Number
405-733-3111
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200522012 01 OK MEDICARE GROUP
P00010135 01 OK RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4400 Grant Blvd Ste 110
City
Yukon
State
Oklahoma
Zip
73099-0038
Phone Number
405-733-1711
Fax Number
405-733-3111
person
Provider Business Mailing Address Details
Address
4400 Grant Blvd Ste 110
City
Yukon
State
Oklahoma
Zip
73099-0038
Phone Number
405-733-1711
Fax Number
405-733-3111
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
204 (Oklahoma)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
204 (Oklahoma)
Definition
Definition to come...
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