Individual
MEGAN ALLENE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 NW 56TH ST STE 200, OKLAHOMA CITY, OK 73112-4509
(405) 951-2855
Mailing address
3625 NW 56TH ST STE 200, OKLAHOMA CITY, OK 73112-4509
(405) 951-2855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0792R
OK
Other
Enumeration date
09/23/2022
Last updated
07/22/2024
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