Organization
WESTERN OKLAHOMA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARITY BRADSHAW MSN, AGNP-C (MANAGING MEMBER)
(505) 610-4001
Entity
Organization
Contact information
Practice address
1710 W 3RD ST STE 101, ELK CITY, OK 73644-5160
(580) 225-8600
(855) 583-1074
Mailing address
1710 W 3RD ST STE 101, ELK CITY, OK 73644-5160
(580) 225-8600
(855) 583-1074
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
02/27/2026
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