Brooke K Stough Dpm

LBN: Brooke K Stough Dpm
Brooke K Stough Dpm is an health care organization with primary practice located at 1113 Winchester Ave , Enid OK 73703-8401. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Brooke K Stough Dpm can be contacted via phone (405) 210-8071, or through Stough, Brooke Kelley via phone (405) 210-8071.

Contact Information

Primary practice address
1113 Winchester Ave Enid OK 73703-8401
Phone: (405) 210-8071
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stough, Brooke Kelley Doctor of Podiatric Medicine (DPM)
Phone: (405) 210-8071

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 297 Oklahoma

Profile Details

NPI number 1699019869
LBN Legal business name Brooke K Stough Dpm
DBA Doing business as
Authorized official Stough, Brooke Kelley Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2012
Last updated Nov 12th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699019869 NPPES
Oklahoma MEDICAID 200441760A

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