Darren Elenburg Dpm PC

NPI #1477194199 in Moore, Oklahoma

Provider Information

NPI Number: 1477194199
Entity Type: Organization
Organization Name: Darren Elenburg Dpm PC
Subpart: Yes (part of a larger organization)
Parent Organization: DARREN ELENBURG DPM PC
Primary Specialty: Podiatrist
Enumeration Date: Oct 3, 2019
Last Updated: Oct 3, 2019

Practice Location

Address: 507 NE 12TH ST
City: Moore
State: Oklahoma
ZIP Code: 73160-5807
Phone: (405) 418-2676

Authorized Official

Name: DARREN DEAN ELENBURG, DPM
Title: OWNER
Phone: (405) 418-2676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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