Individual
CHARLES TATE WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1745 W 33RD ST, EDMOND, OK 73013-3831
(405) 826-2256
(800) 308-0241
Mailing address
1745 W 33RD ST, EDMOND, OK 73013-3831
(405) 826-2256
(800) 308-0241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18955
MT
Other
Enumeration date
04/12/2007
Last updated
11/05/2024
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