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Organization

ANESTHESIA ASSOCIATES OF EDMOND, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES CALVIN WEDDLE JR. MD (PRESIDENT)
(918) 728-6194
Entity
Organization

Contact information

Practice address
1 S BRYANT AVE, EDMOND, OK 73034-6309
(918) 728-6194
(918) 664-2521
Mailing address
4500 S GARNETT RD, SUITE 919, TULSA, OK 74146-5229
(918) 728-6194
(918) 664-2521

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/05/2005
Last updated
12/02/2007
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