Individual
CHRISTIAN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-5239
Mailing address
2201 HUNTLEIGH DR, OKLAHOMA CITY, OK 73120-3621
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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