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Individual

PHILIP J MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1500 N GREEN AVE, PURCELL, OK 73080-1642
(405) 527-6524
Mailing address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3141
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100175410B
OK
Enumeration date
06/02/2006
Last updated
01/12/2012
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