1346004108 EDISON REVOLUTION, LLC
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- EDISON REVOLUTION, LLC
- Enumeration Date
- February 12, 2024
- Last Update
- February 12, 2024
- Authorized Official
- GLENN EDDLEMAN
MEMBER
Phone: (918) 808-1802
Practice Location
- Address
- 100 S RIVERFRONT DR STE 400
JENKS, OK 740375691 - Phone
- (800) 967-2077
Mailing Address
- Address
- 100 S RIVERFRONT DR STE 400
JENKS, OK 740375691 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | N/A | N/A | Primary |
Frequently Asked Questions
What is EDISON REVOLUTION, LLC's NPI number?
EDISON REVOLUTION, LLC's NPI number is 1346004108.
Which doctor has NPI number 1346004108?
The doctor with NPI number 1346004108 is EDISON REVOLUTION, LLC.
What is EDISON REVOLUTION, LLC's practice address?
EDISON REVOLUTION, LLC's practice address is 100 S RIVERFRONT DR STE 400, JENKS, OK, 740375691.
Which doctor practices at 100 S RIVERFRONT DR STE 400, JENKS, OK, 740375691?
EDISON REVOLUTION, LLC practices at 100 S RIVERFRONT DR STE 400, JENKS, OK, 740375691.
What is EDISON REVOLUTION, LLC's phone number?
EDISON REVOLUTION, LLC's phone number is (800) 967-2077.
Who is (800) 967-2077?
(800) 967-2077 is the phone number for EDISON REVOLUTION, LLC.
What is EDISON REVOLUTION, LLC's specialty?
EDISON REVOLUTION, LLC's specialty is Exclusive Provider Organization.
What type of doctor is EDISON REVOLUTION, LLC?
EDISON REVOLUTION, LLC is a Exclusive Provider Organization.
Is EDISON REVOLUTION, LLC a Exclusive Provider Organization?
Yes, EDISON REVOLUTION, LLC is a Exclusive Provider Organization.
Is EDISON REVOLUTION, LLC still practicing?
Yes, EDISON REVOLUTION, LLC is currently practicing.
Is EDISON REVOLUTION, LLC accepting new patients?
EDISON REVOLUTION, LLC may be accepting new patients. Please call their office at (800) 967-2077 to inquire about availability.
Is NPI 1346004108 still active?
Yes, NPI 1346004108 is currently active.
Where does EDISON REVOLUTION, LLC practice?
EDISON REVOLUTION, LLC practices in JENKS, OK.