Individual
MRS. RACHEL ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9809 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6925
(405) 692-1557
(405) 692-4490
Mailing address
9809 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6925
(405) 692-1557
(405) 692-4490
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1709
OK
Other
Enumeration date
04/01/2008
Last updated
09/22/2009
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