# SAMANTHA C MOERY DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285852368
- **Authorized official:** DR. SAMANTHA C MOERY D.O. (PRESIDENT)
- **Authorized official phone:** (580) 237-1877

## Contact information

- **Practice address:** 3201 N VAN BUREN ST, 400, ENID, OK 73703-1800
- **Practice address phone:** (580) 237-1877
- **Practice address fax:** (580) 237-2872
- **Mailing address:** 3201 N VAN BUREN ST, 400, ENID, OK 73703-1800
- **Mailing address phone:** (580) 237-1877
- **Mailing address fax:** (580) 237-2872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4317 | OK | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 04/20/2008