Individual
JESSICA MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5548
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6214
OK
Other
Enumeration date
06/15/2016
Last updated
09/30/2020
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