# MEASE MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144303629
- **Authorized official:** DR. DARRELL R MEASE MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (918) 253-6418

## Contact information

- **Practice address:** 659 S 14TH ST, JAY, OK 74346
- **Practice address phone:** (918) 253-6418
- **Practice address fax:** (918) 253-4066
- **Mailing address:** PO BOX 780, JAY, OK 74346-0780
- **Mailing address phone:** (918) 253-6418
- **Mailing address fax:** (918) 253-4066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 16931 | OK | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020