NPI 1659144384

Nr Edmond LLC

Organisation Physical Medicine & Rehabilitation Physician Edmond, OK

Practice location

Address: 3520 S Boulevard STE 100, Edmond, OK 73013-5413
Phone: (405) 495-7391
Fax: (405) 669-3517
Mailing address: 3705 NW 63rd St STE 200, Oklahoma City, OK 73116-1937

Authorised official

Name: Timothy Coit Bales
Title: Ceo
Phone: (405) 953-7221

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Oklahoma →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1659144384
Entity type: Organization
NPI issued: 3 Nov 2023
Record last updated: 3 Mar 2025

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.