Myranda Shalane Golla | Mcalester, OK • PECOS Search

Myranda Shalane Golla

Chiropractor

Chiropractic Providers

529 S 3rd St, Mcalester, OK 74501-5819

(918) 423-4100 (918) 916-0444

PECOS Enrollment

Based on the most recent information from CMS, provider Myranda Shalane Golla does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:46 AM.

Profile Details

Provider ID
1629328521
Provider Type
Individual
Full Name
Golla, Myranda Shalane
Title
Dr.
Credential
D.C.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/18/2012
Last Updated
6/7/2024

Contact Information

Practice Location

529 S 3rd St, Mcalester, OK 74501-5819

Unlisted Fax

Mailing Location

PO Box 3094, Mcalester, OK 74502-3094

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 4075 Oklahoma