Organization
JM MEDICAL, LLC
Active
Organization
JM MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M MOORE MD (OWNER)
(918) 936-4295
Entity
Organization
Contact information
Practice address
7941 E 57TH ST STE 1, TULSA, OK 74145-8645
(918) 936-4295
Mailing address
7941 E 57TH ST STE 1, TULSA, OK 74145-8645
(918) 936-4295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
10/13/2014
Last updated
12/07/2020
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