Provider Demographics
NPI:1417918954
Name:MORREL, DANA DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:DENISE
Last Name:MORREL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9228 S MINGO RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5718
Mailing Address - Country:US
Mailing Address - Phone:918-392-7575
Mailing Address - Fax:918-615-3465
Practice Address - Street 1:9228 S. MINGO
Practice Address - Street 2:SUITE 103
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5721
Practice Address - Country:US
Practice Address - Phone:918-392-7575
Practice Address - Fax:918-615-3465
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK18084207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100196210AMedicaid
OKF78352Medicare UPIN
OK246701901Medicare PIN