CHARLES TATE WOODWARD

EDMOND, OK
NPI1760606917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MT  18955)
Enumeration Date2007-04-12
Last Update Date2024-11-05
Business Address
CHARLES TATE WOODWARD DO
1745 W 33RD ST
EDMOND, OK 73013-3831
Phone number: 405-826-2256
Mailing Address
CHARLES TATE WOODWARD DO
1745 W 33RD ST
EDMOND, OK 73013-3831
Phone number: 405-826-2256
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