Organization
SOUTH MOORE MEDICAL CLINIC,PC
Active
Other names
South Moore Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH R. LAYNE M.D. (PHYSICIAN)
(405) 912-4900
Entity
Organization
Contact information
Practice address
14800 S WESTERN AVE, MOORE, OK 73170-7112
(405) 912-4900
(405) 912-4903
Mailing address
PO BOX 25887, OKLAHOMA CITY, OK 73125-0887
(405) 912-4900
(405) 912-4903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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