Organization
DAVID D MOON DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D MOON D.O. (OWNER)
(918) 437-6830
Entity
Organization
Contact information
Practice address
11445 E 20TH ST, SUITE 200, TULSA, OK 74128-6421
(918) 437-6830
(918) 437-6171
Mailing address
11445 E 20TH ST, SUITE 200, TULSA, OK 74128-6421
(918) 437-6830
(918) 437-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2965
OK
Other
Enumeration date
09/05/2007
Last updated
04/03/2014
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