South Moore Medical Clinic, PC

NPI #1912094244 in Moore, Oklahoma

Provider Information

NPI Number
1912094244
Entity Type
Organization
Organization Name
South Moore Medical Clinic, PC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 6, 2006
Last Updated
Mar 18, 2011

Practice Location

Address
14800 S WESTERN AVE
City
Moore
ZIP Code
73170-7112
Phone
(405) 912-4900

Authorized Official

Name
KEITH R LAYNE, D.O.
Title
OWNER
Phone
(405) 912-4900

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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