Individual
JOSEPH MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7127 S OLYMPIA AVE, TULSA, OK 74132-1856
(918) 876-0521
(918) 876-0939
Mailing address
701 CEDAR LAKE BLVD STE 160, OKLAHOMA CITY, OK 73114-7818
(405) 724-0574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23398
OK
208000000X
Pediatrics Physician
23398
OK
Other
Enumeration date
06/26/2006
Last updated
05/11/2023
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