Randall J Matos Dpm Pc in Poteau - Podiatrist
Randall J Matos Dpm Pc - NPI 1407876246
Randall J Matos Dpm Pc is a Podiatrist in Poteau, Oklahoma. Randall J Matos Dpm Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Randall J Matos Dpm Pc is 1407876246. The last update date is 2011-03-04.
Randall J Matos Dpm Pc's current location address is Po Box 400, Poteau, Oklahoma. You can contact this provider via phone number 9186493777 and fax number 9186493891. The mailing address for Randall J Matos Dpm Pc is Po Box 400, Poteau, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randall J Matos Dpm Pc |
|---|---|
| Address | Po Box 400, Poteau, Oklahoma |
| Phone Number | 9186493777 |
| Fax Number | 9186493891 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Matos Joseph Randall |
| Credentials | DPM |
| Telephone Number | 9186493777 |
NPI Number Detail
| NPI Number | 1407876246 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2011-03-04 |
Provider Mailing Address Detail
| Address | Po Box 400 |
|---|---|
| City | Poteau |
| State | Oklahoma (OK) |
| Post Code | 749530400 |
| Phone Number | 9186493777 |
| Fax Number | 9186493891 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 193 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN2101 | OK | RAILROAD MEDICARE | |
| 200199110A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Randall J Matos Dpm Pc by the Centers for Medicare & Medicaid Services?
The Randall J Matos Dpm Pc has been assigned the NPI (National Provider Identifier) 1407876246. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Randall J Matos Dpm Pc's facilities are situated?
The facilities of Randall J Matos Dpm Pc are physically located at the following address: Po Box 400, Poteau, OK, 749530400.
What is Randall J Matos Dpm Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall J Matos Dpm Pc's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
When did Randall J Matos Dpm Pc receive its 1407876246 assignment?
The Randall J Matos Dpm Pc was assigned its 1407876246 on 2006-07-21, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Randall J Matos Dpm Pc most recently updated or revised?
The information pertaining to Randall J Matos Dpm Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-04.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA