Unknown Individual – Primary Podiatric Medicine Podiatrist, NPI 1629072376
Primary Podiatric Medicine Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1700, Exchange Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73108, United States
OKLAHOMA CITY, OK 731083021
Phone: (405) 235-7411
Fax: (405) 232-5705
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73108)
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