NPI 1023490349

Etheridge Prosthetics LLC

Organisation Prosthetist Norman, OK

Practice location

Address: 2202 Westpark Dr Suite a, Norman, OK 73069-4033
Phone: (405) 701-3733
Fax: (405) 701-3752

Authorised official

Name: William Robert Etheridge
Title: Prosthetist
Phone: (405) 323-6936

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence C21410 (OK)

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Registry record

NPI: 1023490349
Entity type: Organization
NPI issued: 23 Jun 2015
Record last updated: 20 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.