Individual
DR. STEPHANIE R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4100 SE ADAMS RD, STE C106, BARTLESVILLE, OK 74006-8437
(918) 333-9992
(918) 333-9996
Mailing address
121 SE ADAMS BLVD, BARTLESVILLE, OK 74003-4925
(918) 335-3061
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81697
TX
237600000X
Audiologist-Hearing Aid Fitter
190
OK
237600000X
Audiologist-Hearing Aid Fitter
81697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100664230A
—
OK
Enumeration date
08/21/2006
Last updated
01/18/2024
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