Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 7161 | OK |
NPI | 1225562630 |
---|---|
Provider Name | Brooke Meelheim |
First Address | Oklahoma City, OK 73104-5418 |
Second Address | Oklahoma City, OK 73104-6136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2017 |
Last Update Date | 12/05/2021 |