Individual
MEISHA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 W HUNTSVILLE ST, BROKEN ARROW, OK 74011-6124
(918) 809-4066
Mailing address
2508 W HUNTSVILLE ST, BROKEN ARROW, OK 74011-6124
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
78879
OK
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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