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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