William Robert Etheridge, BOC LP

NPI #1619363835 in Norman, Oklahoma

Provider Information

NPI Number: 1619363835
Entity Type: Individual
Name: William Robert Etheridge, BOC LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: BOC LP
Enumeration Date: Apr 14, 2015
Last Updated: Jun 23, 2015

Practice Location

Address: 2202 WESTPARK DR
Address 2: SUITE A
City: Norman
State: Oklahoma
ZIP Code: 73069-4032
Phone: (405) 701-3733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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Organizations

Provider Name	Specialty	City
Etheridge Prosthetics LLC	Prosthetist	Norman	AI Deep Dive

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