Organization
MOYERS PUBLIC SCHOOL IO 22
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA DUDLEY (SUPERINTENDENT)
(580) 298-5547
Entity
Organization
Contact information
Practice address
H W 2 N COBB DRIVE, MOYERS, OK 74557
(580) 298-5547
(580) 298-2022
Mailing address
PO BOX 88, MOYERS, OK 74557
(580) 298-5547
(580) 298-2022
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100684050A
—
OK
Enumeration date
12/27/2005
Last updated
09/05/2008
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