Individual
MELVIN JEROME OXENDINE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1145 S UTICA AVE, STE 460, TULSA, OK 74104
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE, STE 460, TULSA, OK 74104
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2510
OK
363AS0400X
Surgical Physician Assistant
PA9105189
FL
Other
Enumeration date
10/12/2009
Last updated
05/15/2015
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