Individual
EDWARD GERARD MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 S GARNETT RD, TULSA, OK 74128-1803
(918) 361-1501
(918) 764-9275
Mailing address
PO BOX 35264, TULSA, OK 74153-0264
(918) 764-9300
(918) 764-9275
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24098
OK
208D00000X
General Practice Physician
24098
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200090910A
—
OK
Enumeration date
11/08/2006
Last updated
05/14/2010
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