Organization
PARKSIDE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN PENNINGTON APRN-CNP (MANAGING MEMBER)
(918) 577-7593
Entity
Organization
Contact information
Practice address
655 E OKMULGEE ST, MUSKOGEE, OK 74403-5529
(918) 577-7593
Mailing address
655 E OKMULGEE ST, MUSKOGEE, OK 74403-5529
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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