Organization
JEFFREY MOORE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MOORE (OWNER)
(405) 645-5475
Entity
Organization
Contact information
Practice address
3130 SW 89TH ST STE 200, OKLAHOMA CITY, OK 73159-7909
(405) 645-5475
Mailing address
1637 NW 12TH ST, OKLAHOMA CITY, OK 73106-4635
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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