Individual
BETTY HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 MAGNOLIA CT ST 102, STE 102, MOORE, OK 73160
(405) 912-3100
(405) 912-3104
Mailing address
1200 MAGNOLIA CT ST 102, STE 102, MOORE, OK 73160
(405) 650-5470
(405) 261-9266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17592
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096480A
—
OK
Enumeration date
10/14/2005
Last updated
04/15/2026
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