Individual
PEGGY MOORE-GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11109 SURREY HILLS BLVD, YUKON, OK 73099-8155
(405) 373-2400
(405) 373-4400
Mailing address
PO BOX 660, PIEDMONT, OK 73078-0660
(405) 373-2400
(405) 373-4400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64112
OK
Other
Enumeration date
06/23/2014
Last updated
12/11/2014
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