Individual
MEREDITH L. MOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1713B S PEORIA AVE, TULSA, OK 74120-6801
(918) 622-2500
(405) 789-6734
Mailing address
1713B S PEORIA AVE, TULSA, OK 74120-6801
(918) 622-2500
(405) 419-7745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1884
OK
Other
Enumeration date
03/15/2010
Last updated
03/09/2021
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