Organization
WESTERN MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECIL ALLEN MOORE DO (PRESIDENT/MEDICAL DIRECTOR)
(405) 708-4686
Entity
Organization
Contact information
Practice address
2149 SW 59TH ST, SUITE NO. 104, OKLAHOMA CITY, OK 73119-7033
(405) 708-4686
(866) 611-2570
Mailing address
2149 SW 59TH ST, SUITE NO. 104, OKLAHOMA CITY, OK 73119-7033
(405) 708-4686
(866) 611-2570
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
03777
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932195179
PERSONAL NPI
OK
Enumeration date
03/25/2009
Last updated
03/28/2012
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