Individual
DR. NATHANIEL GILBERT MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3366 NW EXPRESSWAY STE 660, OKLAHOMA CITY, OK 73112-4416
(405) 947-3345
(405) 949-0849
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 947-3345
(405) 949-0849
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
43273
OK
207RP1001X
Pulmonary Disease Physician
Primary
43273
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108786
—
MO
Enumeration date
03/31/2016
Last updated
08/13/2024
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