| Melinda Dandridge Do Pllc | |
|
410 E Main St Jenks OK 74037-4135 | |
| (918) 298-5438 | |
| Not Available |
| Full Name | Melinda Dandridge Do Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 410 E Main St, Jenks, Oklahoma |
| Authorized Official Name and Position | Melinda Dandridge (PEDIATRICICAN) |
| Authorized Official Contact | 9182985437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Dandridge Do Pllc 410 E Main St Jenks OK 74037-4135 Ph: (918) 298-5438 | Melinda Dandridge Do Pllc 410 E Main St Jenks OK 74037-4135 Ph: (918) 298-5438 |
| NPI Number | 1700040649 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700040649 | NPI | - | NPPES |
| 200037860B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3942 (Oklahoma) | Primary |
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