Individual
DENA MOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 WIMBERLY DR, YUKON, OK 73099-0401
(405) 570-1188
(405) 265-3337
Mailing address
PO BOX 58145, OKLAHOMA CITY, OK 73157-8145
(405) 570-1188
(405) 265-3337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20328
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101730B
—
OK
01
—
P00117657
RR MEDICARE
OK
Enumeration date
01/05/2006
Last updated
01/24/2008
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