Moore Imbibition LLC

NPI #1720628282 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1720628282
Entity Type: Organization
Organization Name: Moore Imbibition LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 401 E DOWNING ST
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-3015
Phone: (918) 456-1300

Authorized Official

Name: SETH MOORE, DC
Title: DR
Phone: (918) 734-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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