Individual
JEREMY ADAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 W ROCK CREEK RD, SUITE 110, NORMAN, OK 73072-2202
(405) 364-2666
(405) 364-9627
Mailing address
3033 NW 63RD ST STE 152, OKLAHOMA CITY, OK 73116-3607
(405) 755-6651
(405) 755-2795
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25527
OK
Other
Enumeration date
10/23/2006
Last updated
05/16/2019
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