Individual
MISS MEGAN K BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E. SANTA FE, DOROTHY SMITH FAMILY MEDICAL CLINIC, CARNEY, OK 74832
(405) 865-2020
(405) 865-2323
Mailing address
P. O. BOX 30589, OKLAHOMA CITY, OK 73140-1156
(405) 769-3301
(405) 769-9685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105652
OK
363LF0000X
Family Nurse Practitioner
CAPN0000251CNP
CO
363LF0000X
Family Nurse Practitioner
CNP-02481
NM
Other
Enumeration date
09/25/2014
Last updated
04/23/2021
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