Healthcare Provider Details

I. General information

NPI: 1487266037
Provider Name (Legal Business Name): ARMANDO CARRO, JR DPM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
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:
Mailing address:
  • Phone: 405-340-9251
  • Fax: 405-340-0686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY LYNN WOOD
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-340-9251