Individual
EDMOND JOSEPH ITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 S VAN BUREN ST, ENID, OK 73703-7903
(405) 230-1160
Mailing address
602 W CHEROKEE AVE, ENID, OK 73701-5506
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
02/14/2026
Last updated
02/14/2026
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