Provider Demographics
NPI:1407816457
Name:SCHUFF, ANGELA L (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:L
Last Name:SCHUFF
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 W MEMORIAL RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8305
Mailing Address - Country:US
Mailing Address - Phone:405-755-2334
Mailing Address - Fax:405-755-7803
Practice Address - Street 1:4200 W MEMORIAL RD
Practice Address - Street 2:SUITE 308
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8305
Practice Address - Country:US
Practice Address - Phone:405-755-2334
Practice Address - Fax:405-755-7803
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK242213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKV05667Medicare UPIN