Individual
MEAGAN LEIGH BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27894
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200311940A
—
OK
Enumeration date
04/15/2010
Last updated
02/04/2014
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