Edmonds, Mark Bradley

Edmonds, Mark Bradley is an individual health care provider with primary practice located at 6839 S Canton Ave , Tulsa OK 74136-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Edmonds, Mark Bradley can be contacted via phone (918) 494-0612.

Contact Information

Primary practice address
6839 S Canton Ave Tulsa OK 74136-3402
Phone: (918) 494-0612
Fax: (918) 481-5170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17639 Oklahoma

Profile Details

NPI number 1326048273
LBN Legal business name Edmonds, Mark Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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