Individual
DR. CHARLES C WEDDLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 RENAISSANCE BLVD, EDMOND, OK 73013-3023
(405) 359-2400
Mailing address
608 NW 9TH ST STE 6210, OKLAHOMA CITY, OK 73102-1069
(405) 272-9641
(405) 235-0738
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12392
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128650A
—
OK
Enumeration date
07/20/2006
Last updated
12/29/2022
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