Individual
MEGAN LAINE MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
Mailing address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2465
OK
Other
Enumeration date
01/18/2015
Last updated
08/23/2020
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