# DR. JACOB ANDREW MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508065244
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4541 | OK | Yes |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 10/21/2014