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Dr. Timothy L Moore, DO
General Practice Physician in Oklahoma City, Oklahoma
NPI 1518939792

Timothy L Moore is a General Practice Physician based in Oklahoma City, OK. Timothy L Moore practices in Oklahoma City, OK and has the professional credentials of DO. The NPI Number for Timothy L Moore is 1518939792 and holds a License No. 2469 (Oklahoma).

The current practice location address for Timothy L Moore is 3212 Sw 89Th St, Oklahoma City, OK and can be reached out via phone at 405-378-3300 and via fax at 405-378-3993. You can also correspond with Timothy L Moore through the mailing address at 3212 SW 89TH ST, OKLAHOMA CITY, OK - 73159-7956 (mailing address contact number: 405-378-3300).

Location: 3212 Sw 89Th St, Oklahoma City, OK, 73159-7956
person
Provider Profile Details
NPI Number
1518939792
Provider Name
Timothy L Moore
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3212 Sw 89Th St, Oklahoma City, OK, 73159-7956
Phone Number
405-378-3300
Fax Number
405-378-3993
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100147190A 05 OK
P00040576 01 OK RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3212 Sw 89Th St
City
State
Zip
73159-7956
Phone Number
405-378-3300
Fax Number
405-378-3993
person
Provider Business Mailing Address Details
Address
3212 Sw 89Th St
City
State
Zip
73159-7956
Phone Number
405-378-3300
Fax Number
405-378-3993
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
2469 (Oklahoma)
Definition
Definition to come...
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