Individual
JULIE ANNE MERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1380 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5215
(405) 737-0881
(405) 737-0899
Mailing address
1380 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5215
(405) 737-0881
(405) 737-0899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1294
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548473184
MEDICARE GROUP NPI
OK
Enumeration date
08/23/2007
Last updated
10/30/2007
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