Individual
R. ERIK EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(405) 271-5530
Mailing address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(405) 271-5530
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
32079
IA
2080P0202X
Pediatric Cardiology Physician
Primary
38516
OK
2080P0202X
Pediatric Cardiology Physician
63123
MN
2080P0202X
Pediatric Cardiology Physician
E-4154
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154650001
—
AR
05
—
2161414
—
IA
01
—
29686
WELLMARK BCBS
IA
01
—
63123
MINNESOTA MEDICAL LICENSE
MN
Enumeration date
10/13/2006
Last updated
01/12/2023
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