Individual
DR. WILLIAM BENTLEY EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9000
(405) 230-9544
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9000
(405) 230-9424
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20827
OK
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
20827
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200009820A
—
OK
Enumeration date
07/14/2005
Last updated
12/23/2021
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