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Individual

DR. ROBERT ALLEN MOODY II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1600 W UNIVERSITY BLVD, DURANT, OK 74701-3094
(580) 924-5500
Mailing address
712 W CEDAR ST, DURANT, OK 74701-4242
(918) 845-5686

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7538
TX
207QA0505X
Adult Medicine Physician
5254
OK

Other

Enumeration date
07/13/2012
Last updated
04/18/2023
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