| Southern Oklahoma Podiatry Services Pllc | |
| 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 | |
| (580) 223-0718 | |
| (580) 223-0719 | 
| Full Name | Southern Oklahoma Podiatry Services Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 2002 12th Ave Nw, Ardmore, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932258613 | NPI | - | NPPES | 
| 200281600A | Medicaid | OK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Oklahoma) | Primary | 
| Provider Name | Franklin D Cooper | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1376511204 PECOS PAC ID: 7517946270 Enrollment ID: I20040715001330 | 
| Provider Name | Lloyd B Landis | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1174611875 PECOS PAC ID: 0345346532 Enrollment ID: I20070504000186 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southern Oklahoma Podiatry Services Pllc 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 Ph: (580) 223-0718 | Southern Oklahoma Podiatry Services Pllc 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 Ph: (580) 223-0718 | 
| James Q. Mcclelland, Dpm, Ppc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite F, Ardmore, OK 73401 Phone: 580-223-0718 Fax: 580-223-0719 | |
| Dr. James Q Mcclelland, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 Phone: 580-223-0718 Fax: 580-223-0719 | |
| Dr. Lloyd B Landis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 Phone: 580-223-0718 Fax: 580-223-0719 | |
| Dr. Franklin D Cooper Ii, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Ave Nw, Suite F, Ardmore, OK 73401 Phone: 580-223-0718 Fax: 580-223-0719 |