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Organization

NORMAN REGIONAL PROVIDERS PRIMARY CARE

Active
Other names
MOORE MEDICAL CENTER PHYSICIAN ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD D WAGNER (CO-CEO)
(405) 515-1000
Entity
Organization

Contact information

Practice address
500 E ROBINSON ST STE 2400, NORMAN, OK 73071-6684
(405) 515-0380
Mailing address
3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
(405) 307-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100138480D
OK
Enumeration date
03/02/2007
Last updated
09/02/2025
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