Individual
DR. CLINTON C. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
413 E MAIN ST, LOCUST GROVE, OK 74352
(918) 479-2827
(918) 479-2817
Mailing address
PO BOX 1471, LOCUST GROVE, OK 74352-1471
(918) 479-2827
(918) 479-2817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3649
OK
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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