Organization · Type 2 NPI

Glacier Podiatry Clinics LLC

Primary Podiatric Medicine Podiatrist · Edmond, OK

NPI number 1508117698 Active

Practice location

416 W 15th St, Suite 400B
Edmond, OK 73013-3747

Fax (405) 285-8921

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101X125 (OK)

Primary Podiatric Medicine Podiatrist: Definition to come...

20 other providers at this address

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About NPI 1508117698

Glacier Podiatry Clinics LLC's National Provider Identifier is 1508117698, issued on Sep 28, 2012. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Edmond, OK. The record was last updated on Sep 28, 2012.