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GLACIER PODIATRY CLINICS LLC NPI 1508117698


NPI Information

NPI: 1508117698
Provider Name: GLACIER PODIATRY CLINICS LLC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
416 W 15TH ST
SUITE 400B
EDMOND, OK
ZIP 73013
Phone: (405) 285-8900
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GLACIER PODIATRY CLINICS LLC is a primary podiatric medicine podiatrist in Edmond, OK. GLACIER PODIATRY CLINICS LLC NPI is 1508117698. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

416 W 15TH ST
SUITE 400B
EDMOND, OK
ZIP 73013-747
Phone: (405) 285-8900
Fax: (405) 285-8921

The provider's authorized official is Chad E Huffmyer .
The authorized official title is President and has the following contact phone number (405) 285-8900.

The enumeration date for this NPI number is 9/28/2012 and was last updated on 9/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric Medicine125OKLAHOMAYes

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

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