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Alice Moon

NPI 1962099887 · on the registry since 2020

Practice

Address
2605 Nw 11th St
Oklahoma City, OK 73107
Phone
(405) 514-5253

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma