Individual
EDGAR PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1101 S BELMONT AVE, STE 205, OKMULGEE, OK 74447-6315
(918) 756-8371
(918) 758-3437
Mailing address
1101 S BELMONT AVE, STE 205, OKMULGEE, OK 74447-6315
(918) 756-8371
(918) 758-3437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
88212
OK
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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