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Organization

JAMES A EDWARDS OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIM A EDWARDS OD PC (PRESIDENT)
(580) 248-5280
Entity
Organization

Contact information

Practice address
409 SW C AVE, LAWTON, OK 73501-4022
(580) 248-5280
(580) 357-0301
Mailing address
409 SW C AVE, LAWTON, OK 73501-4022
(580) 248-5280
(580) 357-0301

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
976
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05731
SPECTERA
01
4946483990001
BLUE CROSS AND BLUE SHIEL
OK
01
OK0976
EYEMED VISIONCARE
OK
Enumeration date
04/23/2007
Last updated
02/13/2008
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