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Individual

DR. DEREK MEANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12455 E 100TH ST N STE 350, OWASSO, OK 74055-4675
(918) 274-5510
(918) 403-6312
Mailing address
12455 E 100TH ST N STE 350, OWASSO, OK 74055-4675
(918) 274-5510
(918) 403-6312

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37987
OK

Other

Enumeration date
05/23/2018
Last updated
08/06/2021
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