| Melissa Morgan Md Pc | |
|
1621 S Eucalyptus Ave Suite 202 Broken Arrow OK 74012-5940 | |
| (918) 459-7546 | |
| (918) 459-7575 |
| Full Name | Melissa Morgan Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1621 S Eucalyptus Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Melissa Morgan (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 9184597546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Morgan Md Pc 1621 S Eucalyptus Ave Ste 202 Broken Arrow OK 74012-5940 Ph: (918) 459-7546 | Melissa Morgan Md Pc 1621 S Eucalyptus Ave Suite 202 Broken Arrow OK 74012-5940 Ph: (918) 459-7546 |
| NPI Number | 1518232230 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Medicare PECOS PAC ID | 8729240700 |
|---|---|
| Medicare Enrollment ID | O20120509000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518232230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20128 (Oklahoma) | Secondary |
| 261QH0100X | Clinic/center - Health Service | 20128 (Oklahoma) | Primary |
| Provider Name | Mary Melissa Morgan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487621413 PECOS PAC ID: 7517129596 Enrollment ID: I20120509000304 |
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