Provider Demographics
NPI:1356460653
Name:MEEK, BRIAN MELTON (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MELTON
Last Name:MEEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 SE WALLOCK AVE.
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-5403
Mailing Address - Country:US
Mailing Address - Phone:580-355-9675
Mailing Address - Fax:580-250-6624
Practice Address - Street 1:602 SE WALLOCK AVE.
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-5403
Practice Address - Country:US
Practice Address - Phone:580-355-9675
Practice Address - Fax:580-250-6624
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK154822083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine