Individual
IRENE WHITNEY MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 N FLORENCE AVE STE 201, CLAREMORE, OK 74017-3189
(918) 347-4336
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7435
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201081340A
—
OK
Enumeration date
04/07/2019
Last updated
09/19/2024
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