Whalio Doctors

NPI 1982881173

Gordon J Bean DPM INC

Organisation Podiatrist Moore, OK

Practice location

Address
3001 S Telephone Rd STE B, Moore, OK 73160-5424
Phone
(405) 794-6691
Fax
(405) 794-9856

Authorised official

Name
Gordon James Bean
Title
Provider
Phone
(405) 794-6691

Registered specialties (2)

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 185 (OK)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 185 (OK)

Registry record

NPI
1982881173
Entity type
Organization
NPI issued
30 Jan 2008
Record last updated
8 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.