Individual
WELDON JOHN MALLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17599 S HIGHWAY 88, CLAREMORE, OK 74017-0801
(918) 342-9530
(918) 342-9533
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 342-9530
(918) 342-6852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2466
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227390C
—
OK
Enumeration date
10/03/2006
Last updated
03/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us