Organization · Type 2 NPI

Oklahoma Otolaryngology Associates, LLC

Specialist · Oklahoma City, OK

NPI number 1124118773 Active

Practice location

3033 NW 63rd Street, 152E
Oklahoma City, OK 73116-3634

Call (405) 755-6651 Map

Fax (405) 755-2795

Mailing address

P.o. Box 96-0119
Oklahoma City, OK 73196-0119

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

Other specialist providers in Oklahoma City

See all in Oklahoma City →

NPI record

NPI: 1124118773
Entity type: Organization (Type 2)
Issued: Oct 13, 2006
Last updated: May 15, 2023
Status: Active

Other names

<unavail>
Oklahoma Otolaryngology Associates, PC · former legal business name
Oklahoma Otolaryngology Associates, PC · former legal business name

Authorized official

Jeremy A Moore, MD
President
(405) 755-6651

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1124118773

Oklahoma Otolaryngology Associates, LLC's National Provider Identifier is 1124118773, issued on Oct 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oklahoma City, OK. The record was last updated on May 15, 2023.