Individual
MEGAN ELIZABETH MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(405) 308-3001
Mailing address
17308 CLOVE HILL PL, EDMOND, OK 73012-9704
(405) 308-3001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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