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Individual

RUTH E MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
8131 S MEMORIAL DR, STE 100, TULSA, OK 74133-4347
(918) 872-6880
(918) 293-3155
Mailing address
8131 S MEMORIAL DR, STE 100, TULSA, OK 74133-4347
(918) 872-6880
(918) 293-3155

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4228
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200043890A
OK
Enumeration date
01/30/2006
Last updated
10/09/2012
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