Organization
TRANSFORMATION HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD EDWARDS DO (OWNER)
(918) 935-3636
Entity
Organization
Contact information
Practice address
12142 S YUKON AVE, GLENPOOL, OK 74033
(918) 935-3636
(918) 296-7934
Mailing address
12142 S YUKON AVE, GLENPOOL, OK 74033
(918) 935-3636
(918) 296-7934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
01/19/2018
Last updated
11/08/2022
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