Individual
CYNTHIA MALOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12455 E 100TH ST N, SUITE 120, OWASSO, OK 74055-4674
(918) 274-5510
(918) 274-5519
Mailing address
12455E 100TH N ST 350, OWASSO, OK 74055-4675
(918) 274-5510
(918) 403-6312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17295
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094220A
—
OK
Enumeration date
04/18/2006
Last updated
11/04/2015
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