DR. Jack Ellis Moseley JR., M.D.

NPI #1558438887 in Enid, Oklahoma

Provider Information

NPI Number
1558438887
Entity Type
Individual
Name
DR. Jack Ellis Moseley JR., M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Nov 30, 2006
Last Updated
Aug 26, 2009

Practice Location

Address
2600 E WILLOW RD
Address 2
NORTHERN OKLAHOMA RESOURCE CENTER
City
Enid
ZIP Code
73701-8715
Phone
(580) 213-2700

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics

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