Individual
CALLIE MERRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 575-0678
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 575-0678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7730
OK
Other
Enumeration date
04/13/2021
Last updated
10/30/2024
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