Individual
ANDREW MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3324
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 503-6520
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
32304
OK
2085R0204X
Vascular & Interventional Radiology Physician
Primary
32304
OK
Other
Enumeration date
05/19/2016
Last updated
08/03/2022
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