Individual
BRENT A. MEFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MEMORIAL RD, ER DEPT., OKLAHOMA CITY, OK 73120-8304
(405) 755-1515
(405) 749-4561
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25486
OK
207P00000X
Emergency Medicine Physician
27166
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200116270A
—
OK
05
—
271663
—
SC
Enumeration date
07/19/2006
Last updated
05/20/2014
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