Individual
DR. CHAD P EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12142 S YUKON AVE, GLENPOOL, OK 74033
(918) 935-3636
(918) 296-7934
Mailing address
12142 S YUKON AVE, GLENPOOL, OK 74033-6621
(918) 935-3636
(918) 296-7934
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
03124
KY
207Q00000X
Family Medicine Physician
Primary
4353
OK
Other
Enumeration date
01/08/2007
Last updated
11/08/2022
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