Individual provider · Type 1 NPI

Alice Louise Moon

Family Medicine Physician · Oklahoma City, OK

NPI number 1962099887 Active

Practice location

2605 NW 11th St
Oklahoma City, OK 73107-5413

Call (405) 514-5253 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000XPG225203 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1962099887

Alice Louise Moon's National Provider Identifier is 1962099887, issued on Dec 26, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 25, 2025.