Organization
MELISSA ALWORTH DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ALWORTH DO (OWNER)
(580) 222-6935
Entity
Organization
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6290
(580) 220-6215
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6290
(580) 220-6215
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
4723
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200263600A
—
OK
Enumeration date
08/10/2009
Last updated
12/21/2009
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