Healthcare Provider Details

I. General information

NPI: 1295768091
Provider Name (Legal Business Name): ARMANDO CARRO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 06/09/2020
Certification Date: 06/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W 15TH ST
EDMOND OK
73013-3617
US

IV. Provider business mailing address

600 W 15TH ST
EDMOND OK
73013-3617
US

V. Phone/Fax

Practice location:
  • Phone: 405-340-9251
  • Fax: 405-340-0686
Mailing address:
  • Phone: 405-340-9251
  • Fax: 405-340-0686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number183
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: