NPI 1861056459 · live from the CMS NPI Registry
Carson Foot & Ankle Clinic, LLC
Podiatrist, Foot & Ankle Surgery in Norman, OK. National Provider Identifier 1861056459, active.
NPI record
| NPI | 1861056459 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 817 24th Ave Nw, Norman, OK 73069 |
| Practice phone | 405-329-3929 |
| Mailing address | 41 Seminole Trl, Cranston, RI 02921 |
| Enumerated | April 29, 2019 |
| Last updated | April 29, 2019 |
| Authorized official | Matthew Carson, Podiatrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.