Individual
JOHN WESLEY MOORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 N MONTE VISTA ST, ADA, OK 74820-4609
(580) 332-9595
(580) 332-4921
Mailing address
421 N MONTE VISTA ST, ADA, OK 74820-4609
(580) 332-9595
(580) 332-4921
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
29705
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
LP02650
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50997
—
LA
Enumeration date
05/25/2007
Last updated
11/21/2019
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