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Organization
SOUTHERN OKLAHOMA PATHOLOGY ASSOC., INC.
Active
Organization
SOUTHERN OKLAHOMA PATHOLOGY ASSOC., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WESLEY MOORING M. D. (OWNER)
(800) 288-8325
Entity
Organization
Contact information
Practice address
421 N MONTE VISTA ST, ADA, OK 74820-4609
(580) 332-9595
(580) 332-4921
Mailing address
421 N MONTE VISTA ST, PATHOLOGY DEPARTMENT, ADA, OK 74820-4609
(580) 332-9595
(580) 332-4921
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8286
OK
Other
Enumeration date
08/31/2006
Last updated
08/28/2023
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