Individual
WILLIAM DALE EDGMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
(918) 696-8840
Mailing address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
(918) 696-8840
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
121570
OK
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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