Doctor Name: | DR. WILLIAM LOUIS EDWARDS |
NPI Number: | 1093719486 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 8311 |
Business Practice Address: | 2515 W Elk Ave Duncan, OK - 735331571 |
Business Phone Number: | 5802526080 |
Business Fax Number: | 5804702967 |
Mailing Address: | 2515 W Elk Ave, DUNCAN |
State: | OK |
Postal Code: | 735331571 |
Phone Number: | 5802526080 |
Fax Number: | 5804702967 |
NPI Enumeration Date: | 06/13/2005 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |