MARK B EDMONDS MD

CLINICAL COLLEAGUES INC

Dr MARK B EDMONDS MD is a male medical professional, specializing in Anesthesiology. He graduated in 1987.

Contact

CLINICAL COLLEAGUES INC

1900 N 14TH ST
PONCA CITY
OK
746012035

Tel: 5807653221

MARK B EDMONDS MD Information

Npi 1326048273
Pac Id 3476562331
Professional Enrollment Id I20060508000546
Last Name EDMONDS
First Name MARK
Middle Name B
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1987
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CLINICAL COLLEAGUES INC
Group Practice Pac Id 8729011333
Number Of Group Practice Members 163
Line 1 Street Address 1900 N 14TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PONCA CITY
State OK
Zip Code 746012035
Phone Number 5807653221
Hospital Affiliation Ccn 1 370006
Hospital Affiliation Lbn 1 PONCA CITY MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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