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Organization
NORMAN REGIONAL PROVIDERS PRIMARY CARE
Active
Organization
NORMAN REGIONAL PROVIDERS PRIMARY CARE
Active
Other names
MOORE MEDICAL CENTER PHYSICIAN ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D WAGNER (CO-CEO)
(405) 515-1000
Entity
Organization
Contact information
Practice address
500 E ROBINSON ST STE 2400, NORMAN, OK 73071-6684
(405) 515-0380
Mailing address
3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
(405) 307-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/02/2007
Last updated
09/02/2025
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