# NORMAN REGIONAL PROVIDERS PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOORE MEDICAL CENTER PHYSICIAN ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548398274
- **Authorized official:** RICHARD D WAGNER (CO-CEO)
- **Authorized official phone:** (405) 515-1000

## Contact information

- **Practice address:** 500 E ROBINSON ST STE 2400, NORMAN, OK 73071-6684
- **Practice address phone:** (405) 515-0380
- **Mailing address:** 3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
- **Mailing address phone:** (405) 307-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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