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Organization

ANITA D'MELLO, MD, PC

Active
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Organization

ANITA D'MELLO, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANITA DMELLO M.D (PRESIDENT)
91842057779
Entity
Organization

Contact information

Practice address
4 E CLARK BASS BLVD, STE 204, MCALESTER, OK 74501-4269
(918) 420-5779
(918) 420-5882
Mailing address
4 E CLARK BASS BLVD, STE 204, MCALESTER, OK 74501-4269
(918) 420-5779
(918) 420-5882

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23770
OK

Other

Enumeration date
04/09/2007
Last updated
09/28/2007
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