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Contact Information

MELISSA ALWORTH DO PLLC
1011 14TH AVE NW
ARDMORE, OK73401-1828
 Phone: 580-220-6290
 Fax: 580-220-6215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MELISSA ALWORTH DO PLLC · (Female)

NPI # 1972735959
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2009
Last updated 12/21/2009 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 4723
  • OK Medicaid 200263600A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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