CHAD STEVEN EDMINSTEN

NORMAN, OK
NPI1790986826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  2464)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  AT233)
363AS0400X Physician Assistant, Surgical
(Licence: OK  2464)
Enumeration Date2007-05-29
Last Update Date2014-12-22
Business Address
-- CHAD STEVEN EDMINSTEN ATC, PA-C
3400 W TECUMSEH RD STE 101
NORMAN, OK 73072-1810
Phone number: 405-360-6764
Mailing Address
-- CHAD STEVEN EDMINSTEN ATC, PA-C
3400 W TECUMSEH RD STE 101
NORMAN, OK 73072-1810
Phone number: 405-360-6764