Individual
DR. BRADLEY D EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1725 E 19TH ST STE 200, TULSA, OK 74104
(918) 748-8381
(918) 403-6328
Mailing address
1725 E 19TH ST STE 200, TULSA, OK 74104
(918) 748-8381
(918) 403-6328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
104566
MN
207R00000X
Internal Medicine Physician
4292
OK
207R00000X
Internal Medicine Physician
52202
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4292
OK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
52202
MN
207RP1001X
Pulmonary Disease Physician
4292
OK
207RP1001X
Pulmonary Disease Physician
Primary
52202
MN
Other
Enumeration date
01/29/2007
Last updated
11/19/2015
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