Individual
DR. MELISSA ANN DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 S WHEELING AVE STE 504, TULSA, OK 74104-5634
(918) 301-2505
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 749-0234
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24521
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200125470A
—
OK
05
—
200567150A
—
OK
Enumeration date
04/26/2007
Last updated
07/21/2025
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