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
Mailing address2202 Westpark Dr, Suite A, Norman, OK 73069-4032

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