Provider Demographics
NPI:1568840882
Name:COMPREHENSIVE FOOT & ANKLE INSTITUTE PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE FOOT & ANKLE INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUENTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-394-1169
Mailing Address - Street 1:13401 N WESTERN AVE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-1407
Mailing Address - Country:US
Mailing Address - Phone:580-402-4513
Mailing Address - Fax:888-494-3236
Practice Address - Street 1:13401 N WESTERN AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-1407
Practice Address - Country:US
Practice Address - Phone:580-402-4513
Practice Address - Fax:888-494-3236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK311213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty