Organization
MOC MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL O CRESPO DO (ADMINISTRATOR)
(405) 550-3572
Entity
Organization
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 550-3572
Mailing address
PO BOX 3931, EDMOND, OK 73083-3931
(405) 550-3572
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
3084
OK
Other
Enumeration date
12/14/2010
Last updated
07/01/2011
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