Revolution Health & Wellness Clinic PLLC
Revolution Health & Wellness Clinic PLLC is a Family Medicine Physician in Glenpool, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.
- Licensed in
- OK
- In the registry since
- 2012
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12142 S Yukon AveGlenpool, OK 74033-6621
Phone: (918) 935-3636
Fax: (918) 935-3635
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 4353 (OK) |
|---|
Record details
| NPI number | 1649515446 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chad Edwards — Physician/Owner · (918) 935-3636 |
| NPI enumerated | December 5, 2012 |
| Last updated in NPPES | February 22, 2021 |
| Certification date | February 22, 2021 |
| Mailing address | 2865 E Skelly Dr Ste 300, Tulsa, OK 74105-6233 |
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