Individual
JEFFREY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3130 SW 89TH ST STE 200, OKLAHOMA CITY, OK 73159-7909
(888) 957-7463
Mailing address
3705 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-1937
(405) 297-4968
(972) 848-5269
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
36986
OK
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD467707
PA
Other
Enumeration date
07/04/2014
Last updated
09/30/2024
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