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NPI Code Detail

MEDICARE: C. ERIC ECKMAN, MD, PLLC

MEDICARE: C. ERIC ECKMAN, MD, PLLC
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
1208VP0014XInterventional Pain Medicine Physician
22085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1407849623
Entity Type Code : Organization
Provider Name (Legal Business Name) : C. ERIC ECKMAN, MD, PLLC
Provider Business Mailing Address
First Line : 2224 NW 50TH ST
Second Line : SUITE 276W
City : OKLAHOMA CITY
State : OK
Zip : 73112-8046
Country : US
Telephone Number : 405-858-2350
Fax Number :
Provider Business Practice Location Address
First Line : 14101 PARKWAY COMMONS DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-6012
Country : US
Telephone Number : 405-749-2762
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CHARLES ERIC ECKMAN
Credential : MD
Telephone Number : 405-858-2350
Provider Enumeration Date : 08/23/2005
Last Update Date : 11/21/2013

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