Individual
MR. CARSON DANIEL EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 SE 66TH ST, OKLAHOMA CITY, OK 73149-5203
(405) 616-3366
Mailing address
404 BOULDER CT, NORMAN, OK 73072-5113
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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