DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALICE LOUISE MOON

Active

ALICE LOUISE MOON is a Family Medicine healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1962099887 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · OKLAHOMA CITY, OK

Registration Details

NPI Number
1962099887
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2020 (5.6321786461233 yrs)
Last Updated
Aug 25, 2025
License
PG225203 (OR)

Practice Information

Address
2605 NW 11TH ST
OKLAHOMA CITY, OK, 731075413
Browse OK providers · Browse ZIP 73107
Phone
4055145253
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in OKLAHOMA CITY, OK

Name Credential NPI
DR. CYNTHIA M BRENNAN M.D. 1013910264
ALEXA G WOODSON MD 1720082266
REBECCA LYNN BARRETT MD 1194720359
DR. CARL PATRICK GRIFFIN M.D. 1003813825
RONALD R. HOPKINS DO 1144228784
DANIEL CLAYTON CLINKENBEARD MD 1629076963
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.