Organization
ELEVATION HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TATE WOODWARD DO (PHYSICIAN/OWNER)
(406) 309-4780
Entity
Organization
Contact information
Practice address
1745 W 33RD ST, EDMOND, OK 73013-3831
(406) 309-4780
Mailing address
1745 W 33RD ST, EDMOND, OK 73013-3831
(406) 309-4780
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
10/04/2024
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