Individual
DR. ANNIE MOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
608 STANTON L YOUNG BLVD, SUITE B332, OKLAHOMA CITY, OK 73104-5014
(405) 271-1096
(405) 271-6319
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
(405) 271-3013
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25055
OK
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
25055
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200162200A
—
OK
Enumeration date
10/02/2006
Last updated
08/04/2020
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