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Individual

AMBER MARIE MEIWES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
63 GOODER SIMPSON BLVD, PIEDMONT, OK 73078-9215
(405) 373-0380
(405) 373-0457
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8465
(405) 419-7745

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2256
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
.
.
OK
Enumeration date
03/18/2013
Last updated
07/14/2021
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