Doctor Name: | MR. GERON WAYNE MEEKS |
NPI Number: | 1952451544 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 1251 |
Business Practice Address: | 2312 N Interstate Dr Norman, OK - 730722942 |
Business Phone Number: | 4053648707 |
Business Fax Number: | 4053608673 |
Mailing Address: | 2312 N Interstate Dr, NORMAN |
State: | OK |
Postal Code: | 730722942 |
Phone Number: | 4053648707 |
Fax Number: | 4053608673 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1251 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |