Edison Revolution, LLC
NPI #1346004108 in Jenks, Oklahoma
Provider Information
- NPI Number
- 1346004108
- Entity Type
- Organization
- Organization Name
- Edison Revolution, LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Feb 12, 2024
- Last Updated
- Feb 12, 2024
Practice Location
Authorized Official
- Name
- GLENN EDDLEMAN
- Title
- MEMBER
- Phone
- (918) 808-1802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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