Individual
DR. JACOB ANDREW MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1111 N LEE AVE, SUITE 300, OKLAHOMA CITY, OK 73103-2600
(405) 272-7005
(405) 272-7391
Mailing address
PO BOX 268986, OKLAHOMA CITY, OK 73126-8986
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4541
OK
Other
Enumeration date
07/12/2007
Last updated
10/21/2014
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