Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William Robert Etheridge, BOCLP

Individual provider Prosthetist · NPI 1619363835

William Robert Etheridge, BOCLP is a Prosthetist in Norman, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2015

Practice location Address checks out

2202 Westpark Dr Ste A
Norman, OK 73069-4032
Phone: (405) 701-3733
Fax: (405) 701-3752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence C21410 (OK)

Record details

NPI number1619363835
Entity typeIndividual (Type 1)
GenderMale
Credentials BOCLP
Sole proprietorYes
NPI enumeratedApril 14, 2015
Last updated in NPPESJune 23, 2015

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