Individual
CRAIG BEATY MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 NORTH BROADWAY, HOBART, OK 73651
(580) 726-5653
(580) 726-3661
Mailing address
125 NORTH BROADWAY, HOBART, OK 73651
(580) 726-5653
(580) 726-3661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11960
OK
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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