NPI 1073960738

Melanie Green

Practitioner Other Technician Westville, OK

Practice location

Address: 500 W Chincapin, Westville, OK 74965
Phone: (918) 723-3181
Mailing address: PO Box 410, Westville, OK 74965-0410

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Oklahoma →

Registry record

NPI: 1073960738
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 May 2016
Record last updated: 1 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.