Organization
FEDMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY HEATH ASHBY (COO)
(405) 924-9841
Entity
Organization
Contact information
Practice address
1740 S. SOONER UNIT B, OKLAHOMA CITY, OK 73110
(405) 900-4946
Mailing address
1740 S. SOONER UNIT B, OKLAHOMA CITY, OK 73110
(405) 900-4946
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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