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Megan Melott Moss, DO

Pediatrics in Tahlequah, OK. Individual provider (NPI-1).

NPI number1164099073
StatusActive
Last updated in NPPESSep 12, 2024

Details

NPI
1164099073
Entity type
Individual (NPI-1)
Name
Megan Melott Moss
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2021
Certification date
Sep 12, 2024
Last updated
Sep 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics8523OKYes
208000000X Pediatrics94-10686KS

Practice location

1310 E Boone St
Tahlequah, OK 74464-3338

Phone 918-456-7700 · Fax 918-458-9314

Mailing address

Po Box 751
Hulbert, OK 74441-0751

Phone 918-772-2879

Other practice locations

1010 N Kansas St
Wichita, KS 67214-3124

Phone 316-293-2665

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