Individual
MEGAN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 491-3314
(918) 523-4751
Mailing address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 491-3314
(918) 523-4751
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
330
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200065550A
—
OK
Enumeration date
02/05/2007
Last updated
11/11/2010
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