Moody, Robert Allen

Moody, Robert Allen is an sole proprietor health care provider with primary practice located at 1600 W University Blvd , Durant OK 74701-3094. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moody, Robert Allen can be contacted via phone (580) 924-5500.

Contact Information

Primary practice address
1600 W University Blvd Durant OK 74701-3094
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R7538 Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 5254 Oklahoma

Profile Details

NPI number 1912252172
LBN Legal business name Moody, Robert Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2012
Last updated Apr 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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