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Organization

REVOLUTION HEALTH & WELLNESS CLINIC PLLC

Active
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Organization

REVOLUTION HEALTH & WELLNESS CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD PRESTON EDWARDS D.O. (PHYSICIAN/OWNER)
(918) 935-3636
Entity
Organization

Contact information

Practice address
12142 S YUKON AVE, GLENPOOL, OK 74033-6621
(918) 935-3636
(918) 935-3635
Mailing address
2865 E SKELLY DR STE 300, TULSA, OK 74105-6233
(918) 935-3636
(918) 935-3635

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4353
OK

Other

Enumeration date
12/05/2012
Last updated
02/22/2021
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