| Doctor Name: | EDWARD GERARD MELTON |
| NPI Number: | 1134299407 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 24098 |
| Business Practice Address: | 141 S Garnett Rd Tulsa, OK - 741281803 |
| Business Phone Number: | 9183611501 |
| Business Fax Number: | 9187649275 |
| Mailing Address: | Po Box 35264, TULSA |
| State: | OK |
| Postal Code: | 741530264 |
| Phone Number: | 9187649300 |
| Fax Number: | 9187649275 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 05/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 24098 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |