Oklahoma Mobile Podiatry Services Llc | |
3001 S Telephone Rd, Moore, OK 73160-2942 | |
(405) 471-6190 | |
Not Available |
Full Name | Oklahoma Mobile Podiatry Services Llc |
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Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 3001 S Telephone Rd, Moore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699339804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
Provider Name | Jeremy M Mason |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710154471 PECOS PAC ID: 9931274453 Enrollment ID: I20080819000230 |
Mailing Address | Practice Location Address |
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Oklahoma Mobile Podiatry Services Llc 2615 Meadow View Rd, Edmond, OK 73013-7855 Ph: (405) 562-1952 | Oklahoma Mobile Podiatry Services Llc 3001 S Telephone Rd, Moore, OK 73160-2942 Ph: (405) 471-6190 |
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