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NPI Code Detail

MEDICARE: EDB NURSING,PLC

MEDICARE: EDB NURSING,PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency26751OK

General Provider Information

NPI Number : 1225333867
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDB NURSING,PLC
Provider Business Mailing Address
First Line : 10931 S 91ST EAST CT
Second Line :
City : TULSA
State : OK
Zip : 74133-6323
Country : US
Telephone Number : 918-513-1062
Fax Number :
Provider Business Practice Location Address
First Line : 6802 S OLYMPIA AVE
Second Line : 300
City : TULSA
State : OK
Zip : 74132-1823
Country : US
Telephone Number : 918-513-1062
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. CLINTON JOHN BAIRD
Credential : MD
Telephone Number : 918-513-1062
Provider Enumeration Date : 01/12/2011
Last Update Date : 01/12/2011

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Directions to “EDB NURSING,PLC ” Practice Location

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