Individual
CHRISTOPHER J FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
MCBRIDE CLINIC, INC., 815 NW 12TH, OKLAHOMA CITY, OK 73103
(405) 230-9575
(405) 228-2569
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9575
(405) 230-9585
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
426
OK
246Z00000X
Other Specialist/Technologist
426
OK
Other
Enumeration date
06/01/2007
Last updated
12/14/2017
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