Provider Demographics
NPI:1477830081
Name:ROWE, MALEAH (BS)
Entity Type:Individual
Prefix:
First Name:MALEAH
Middle Name:
Last Name:ROWE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-1044
Mailing Address - Country:US
Mailing Address - Phone:405-935-1652
Mailing Address - Fax:405-849-1652
Practice Address - Street 1:6100 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-1044
Practice Address - Country:US
Practice Address - Phone:405-935-1652
Practice Address - Fax:405-849-1652
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator