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NPI Code Detail

MEDICARE: MELISSA SWAFFORD WHEELER

MEDICARE: MELISSA SWAFFORD WHEELER
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
1175T00000XPeer SpecialistOK
2175T00000XPeer Specialist

General Provider Information

NPI Number : 1952015059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SWAFFORD WHEELER
Provider Business Mailing Address
First Line : 823 N VILLA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-6439
Country : US
Telephone Number : 405-408-6820
Fax Number :
Provider Business Practice Location Address
First Line : 823 N VILLA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-6439
Country : US
Telephone Number : 405-408-6820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2023
Last Update Date : 01/12/2023

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Directions to “ MELISSA SWAFFORD WHEELER ” Practice Location

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