Organization
C.V. MOSES, D.O. INC.
Active
Other names
SOUTHSIDE MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPER VINCENT MOSES D.O. (PHYSICIAN)
(918) 493-3838
Entity
Organization
Contact information
Practice address
8222 S. HARVARD AVE, TULSA, OK 74136-1613
(918) 493-3838
Mailing address
8222 S. HARVARD AVE, TULSA, OK 74136-1613
(918) 493-3838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023050A
—
OK
Enumeration date
10/17/2008
Last updated
11/11/2008
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