Individual
CHARLES ERIC ECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14101 PARKWAY COMMONS, OKLAHOMA CITY, OK 73134-6012
(405) 749-6277
Mailing address
6608 N WESTERN AVE #422, OKLAHOMA CITY, OK 73116
(405) 775-9350
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12332
OK
208VP0014X
Interventional Pain Medicine Physician
12332
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100259370A
—
OK
Enumeration date
08/03/2005
Last updated
04/01/2014
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