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NPI Code Detail

MEDICARE: MS. MEGAN RACHEL BRYAN

MEDICARE:  MS. MEGAN RACHEL BRYAN
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1982810818
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN RACHEL BRYAN
Provider Business Mailing Address
First Line : 4436 NW 50TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2212
Country : US
Telephone Number : 405-286-3069
Fax Number :
Provider Business Practice Location Address
First Line : 800 W CALIFORNIA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-7807
Country : US
Telephone Number : 405-232-2709
Fax Number : 405-236-0341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MEGAN RACHEL BRYAN ” Practice Location

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