Individual
MR. BRADLEY ALAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4221 S WESTERN AVE, SUITE 3030, OKLAHOMA CITY, OK 73109-3447
(405) 636-7650
(405) 636-7743
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 636-7650
(405) 636-7743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2104
OK
Other
Enumeration date
01/24/2012
Last updated
07/19/2017
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