Revolution Health & Wellness Clinic Pllc

NPI #1649515446 in Glenpool, Oklahoma

Provider Information

NPI Number: 1649515446
Entity Type: Organization
Organization Name: Revolution Health & Wellness Clinic Pllc
Primary Specialty: Family Medicine
Enumeration Date: Dec 5, 2012
Last Updated: Feb 22, 2021

Practice Location

Address: 12142 S YUKON AVE
City: Glenpool
State: Oklahoma
ZIP Code: 74033-6621
Phone: (918) 935-3636

Authorized Official

Name: DR. CHAD PRESTON EDWARDS, D.O.
Title: PHYSICIAN/OWNER
Phone: (918) 935-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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