Individual
DR. MICHAEL SHANE MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-1000
Mailing address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6031
OK
Other
Enumeration date
06/19/2015
Last updated
02/21/2023
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