Etheridge Prosthetics LLC

NPI #1023490349 in Norman, Oklahoma

Provider Information

NPI Number: 1023490349
Entity Type: Organization
Organization Name: Etheridge Prosthetics LLC
Primary Specialty: Prosthetist
Enumeration Date: Jun 23, 2015
Last Updated: Nov 20, 2015

Practice Location

Address: 2202 WESTPARK DR
Address 2: SUITE A
City: Norman
State: Oklahoma
ZIP Code: 73069-4033
Phone: (405) 701-3733

Authorized Official

Name: WILLIAM ROBERT ETHERIDGE, BOCP LP
Title: PROSTHETIST
Phone: (405) 323-6936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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