Individual
MISTY DAWN HSIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 SW 4TH ST, MOORE, OK 73160-2494
(405) 378-5491
(405) 378-5492
Mailing address
1060 SW 4TH ST, MOORE, OK 73160-2494
(405) 378-5491
(405) 378-5492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22009
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138480
—
OK
Enumeration date
06/16/2006
Last updated
03/29/2018
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