Moore Primary Care

NPI #1578854576 in Moore, Oklahoma

Provider Information

NPI Number
1578854576
Entity Type
Organization
Organization Name
Moore Primary Care
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 25, 2011
Last Updated
Apr 25, 2011

Practice Location

Address
1400 SE 4TH ST
Address 2
SUITE H
City
Moore
ZIP Code
73160-7329
Phone
(405) 799-7400

Authorized Official

Name
RANDALL CARTER, PA-C
Title
PA-C
Phone
(405) 799-7400

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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