Individual
DR. JOSEPH P. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11212 E 48TH ST, TULSA, OK 74146-5806
(918) 556-3000
(918) 556-7066
Mailing address
1400 DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 708-1228
(918) 458-4389
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
13797
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100590A
—
OK
Enumeration date
06/13/2006
Last updated
09/29/2011
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