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Individual

MR. FRANK NORMAN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8004 S MEMORIAL DR, TULSA, OK 74133-3644
(918) 461-2367
(918) 461-8717
Mailing address
8004 S MEMORIAL DR, TULSA, OK 74133-3644
(918) 461-2367
(918) 461-8717

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1138
OK
152W00000X
Optometrist
1333
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100767650A
OK
Enumeration date
07/28/2006
Last updated
06/14/2010
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