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Dr. William Moore, DO
Military Health Care Provider in Tinker Afb, Oklahoma
NPI 1720501299

William Moore is a Military Health Care Provider based in Keesler Afb, OK. William Moore practices in Tinker Afb, OK and has the professional credentials of DO. The NPI Number for William Moore is 1720501299 and holds a License No. (Oklahoma).

The current practice location address for William Moore is 7050 Air Depot Blvd, Tinker Afb, OK and can be reached out via phone at 405-734-2778.

Location: 7050 Air Depot Blvd, Tinker Afb, OK, 39534-2508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720501299
Provider Name
William Moore
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7050 Air Depot Blvd, Tinker Afb, OK, 39534-2508
Phone Number
405-734-2778
Fax Number
Provider Enumeration Date
07/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7050 Air Depot Blvd
City
Tinker Afb
State
Oklahoma
Zip
73145-8716
Phone Number
405-734-2778
Fax Number
person
Provider Business Mailing Address Details
Address
7050 Air Depot Blvd
City
Tinker Afb
State
Oklahoma
Zip
73145-8716
Phone Number
405-734-2778
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
6556 (Oklahoma)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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