Individual
MEGAN R JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160-2550
(405) 912-3120
Mailing address
700 S TELEPHONE RD, MOORE, OK 73160-2550
(405) 912-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32769
OK
Other
Enumeration date
07/02/2014
Last updated
04/09/2024
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