Individual
DR. BILL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13420 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120-9007
(405) 478-0633
(405) 478-5218
Mailing address
1705 RENAISSANCE BLVD, SUITE 100, EDMOND, OK 73013-3041
(405) 285-7500
(405) 285-7501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2365
OK
Other
Enumeration date
10/18/2005
Last updated
04/18/2011
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