Unknown Individual – Podiatrist, NPI 1962481317
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
5480 MAIN ST STE 105
DEL CITY, OK 731155517
Phone: (405) 733-2783
Fax: (405) 741-2804
Type: Location
Edmond Post Office, South Kelly Avenue, Edmond, Oklahoma County, Oklahoma, 73013, United States
EDMOND, OK 730838524
Phone: (405) 471-6190
Fax: (405) 285-8921
Type: Mailing
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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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 73115)
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