Organization
MOORE IMBIBITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH MOORE DC (DR)
(918) 734-2711
Entity
Organization
Contact information
Practice address
401 E DOWNING ST, TAHLEQUAH, OK 74464-3015
(918) 456-1300
Mailing address
401 E DOWNING ST, TAHLEQUAH, OK 74464-3015
(918) 456-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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