NPI 1134325608

Jeremy Brandon Moad, MD

Practitioner Pulmonary Disease Physician Edmond, OK

Practice location

Address: 105 S Bryant Ave STE 104, Edmond, OK 73034
Phone: (405) 715-2022
Fax: (405) 715-2905
Mailing address: 105 S Bryant Ave STE 104, Edmond, OK 73034-6361

Registered specialties (3)

Pulmonary Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence 25707 (OK)

Other Internal Medicine providers in Oklahoma →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 25707 (OK)

Critical Care Medicine (Internal Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207RC0200X Licence 25707 (OK)

Registry record

NPI: 1134325608
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2007
Record last updated: 27 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.