WALLACE FOOT AND ANKLE CENTER PLLC NPI 1336571785

NPI Information

NPI: 1336571785
Provider Name: WALLACE FOOT AND ANKLE CENTER, PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
608 NW 9TH ST
SUITE 4210
OKLAHOMA CITY, OK
ZIP 73102
Phone: (405) 446-8290
Get Directions

WALLACE FOOT AND ANKLE CENTER, PLLC is a foot and ankle surgery podiatrist in Oklahoma City, OK. WALLACE FOOT AND ANKLE CENTER, PLLC NPI is 1336571785. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

608 NW 9TH ST
SUITE 4210
OKLAHOMA CITY, OK
ZIP 73102-068
Phone: (405) 446-8290

The provider's authorized official is Trenton Dale Wallace .
The authorized official title is Podiatrist and has the following contact phone number (405) 446-8290.

The enumeration date for this NPI number is 8/7/2013 and was last updated on 6/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	292	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200341570A	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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