Individual
ANGEL JAVIER MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
(918) 458-3279
Mailing address
17401 E 47TH ST, TULSA, OK 74134-7141
(918) 355-9317
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18703
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700620L
—
OK
Enumeration date
07/20/2006
Last updated
07/09/2007
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