Foot & Ankle Clinic Of Western Oklahoma Pllc | |
207 S 30th Street, Clinton, OK 73601-3657 | |
(580) 323-5800 | |
(580) 323-5802 |
Full Name | Foot & Ankle Clinic Of Western Oklahoma Pllc |
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Type | Facility |
Speciality | Podiatrist |
Location | 207 S 30th Street, Clinton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013917012 | NPI | - | NPPES |
P00162625 | Other | OK | RAILROAD MEDICARE |
200026900A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Oklahoma) | Primary |
Provider Name | Bradley Dewayne Nelson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285634469 PECOS PAC ID: 4284611765 Enrollment ID: I20040702000245 |
Mailing Address | Practice Location Address |
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Foot & Ankle Clinic Of Western Oklahoma Pllc 207 South 30th Street, Clinton, OK 73601 Ph: (580) 323-5800 | Foot & Ankle Clinic Of Western Oklahoma Pllc 207 S 30th Street, Clinton, OK 73601-3657 Ph: (580) 323-5800 |
Woodward Foot Clinic Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 812 Frisco Ave, Clinton, OK 73601 Phone: 580-256-8603 Fax: 580-256-8604 | |
Bradley D Nelson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 207 S 30th Street, Clinton, OK 73601 Phone: 580-323-5800 Fax: 580-323-5802 |