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Organization

ELEVATE MED WELLNESS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA ENGLAND (OWNER)
(918) 645-9325
Entity
Organization

Contact information

Practice address
314 E 5TH AVE STE 105, OWASSO, OK 74055-3484
(918) 645-9325
Mailing address
314 E 5TH AVE STE 105, OWASSO, OK 74055-3484

Taxonomy

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

Other

Enumeration date
07/22/2024
Last updated
04/21/2025
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