Organization
OKLAHOMA OTOLARYNGOLOGY ASSOCIATES, LLC
Active
Other names
Oklahoma Otolaryngology Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY A MOORE M.D. (PRESIDENT)
(405) 755-6651
Entity
Organization
Contact information
Practice address
3033 NW 63RD STREET, 152E, OKLAHOMA CITY, OK 73116-3634
(405) 755-6651
(405) 755-2795
Mailing address
P.O. BOX 96-0119, OKLAHOMA CITY, OK 73196-0119
(405) 755-6651
(405) 755-2795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
05/15/2023
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