| Samantha C Moery Do Pc | |
|
3201 N Van Buren St 400 Enid OK 73703-1800 | |
| (580) 237-1877 | |
| (580) 237-2872 |
| Full Name | Samantha C Moery Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3201 N Van Buren St, Enid, Oklahoma |
| Authorized Official Name and Position | Samantha C Moery (PRESIDENT) |
| Authorized Official Contact | 5802371877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha C Moery Do Pc 3201 N Van Buren St 400 Enid OK 73703-1800 Ph: (580) 237-1877 | Samantha C Moery Do Pc 3201 N Van Buren St 400 Enid OK 73703-1800 Ph: (580) 237-1877 |
| NPI Number | 1285852368 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285852368 | NPI | - | NPPES |
| 4317 | Other | OK | STATE MEDICAL LICENSE |
| P00442024 | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4317 (Oklahoma) | Primary |
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