Organization
WESTERN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECIL A MOORE D.O. (PHYSICIAN)
(405) 708-4686
Entity
Organization
Contact information
Practice address
7300 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2002
(405) 708-4686
(866) 313-9161
Mailing address
PO BOX 892518, OKLAHOMA CITY, OK 73189-2518
(405) 708-4686
(866) 313-9161
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3777
OK
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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