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NPI Code Detail

MEDICARE: MELISSA B MYERS DO

MEDICARE: MELISSA B MYERS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2964OK

General Provider Information

NPI Number : 1023018819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA B MYERS DO
Provider Business Mailing Address
First Line : 4705 S 129TH EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74134-7005
Country : US
Telephone Number : 800-993-8244
Fax Number : 404-494-7549
Provider Business Practice Location Address
First Line : 4705 S 129TH EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74134-7005
Country : US
Telephone Number : 918-615-7261
Fax Number : 404-494-7549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 05/25/2021

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