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WOODWARD FOOT CLINIC PLLC NPI 1073782462


NPI Information

NPI: 1073782462
Provider Name: WOODWARD FOOT CLINIC PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 37D2090405

Address:
812 FRISCO AVE
CLINTON, OK
ZIP 73601
Phone: (580) 256-8603
Get Directions

WOODWARD FOOT CLINIC PLLC is a podiatrist in Clinton, OK. The provider is 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. WOODWARD FOOT CLINIC PLLC NPI is 1073782462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

812 FRISCO AVE
CLINTON, OK
ZIP 73601-323
Phone: (580) 256-8603
Fax: (580) 256-8604

The provider's authorized official is Frank S Aaron .
The authorized official title is Member and has the following contact phone number (580) 256-8603.

The CLIA number assigned to this NPI record is 37D2090405 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 5/22/2008.


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
1213E00000XPodiatrist127OKLAHOMAYes

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
16067780002MEDICARE NSCOKLAHOMA

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: 5/5/2024

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