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Mary Kathleen Moore, DO
Emergency Medical Services (Emergency Medicine) Physician in Tahlequah, Oklahoma
NPI 1902837776

Mary Kathleen Moore is a Emergency Medical Services (Emergency Medicine) Physician based in Tahlequah, OK and is specialized in Emergency Medical Services. Mary Kathleen Moore practices in Tahlequah, OK and has the professional credentials of DO. The NPI Number for Mary Kathleen Moore is 1902837776 and holds a License No. 3976 (Oklahoma).

The current practice location address for Mary Kathleen Moore is 100 S Bliss Ave, Tahlequah, OK and can be reached out via phone at 918-458-3104 and via fax at 918-458-3580.

Location: 100 S Bliss Ave, Tahlequah, OK, 74465-0675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902837776
Provider Name
Mary Kathleen Moore
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
100 S Bliss Ave, Tahlequah, OK, 74465-0675
Phone Number
918-458-3104
Fax Number
918-458-3580
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3104
Fax Number
918-458-3580
person
Provider Business Mailing Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3104
Fax Number
918-458-3580
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
3976 (Oklahoma)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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