Individual
DR. TIMOTHY DEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., P.C.
Contact information
Practice address
109 W MAIN ST, STROUD, OK 74079-3607
(918) 968-3422
(918) 968-4829
Mailing address
PO BOX 237, 109 W. MAIN ST., STROUD, OK 74079-0237
(918) 968-3422
(918) 968-4829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
897
OK
Other
Enumeration date
01/04/2006
Last updated
02/25/2008
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