| Moore Restored, Inc | |
|
4200 Perimeter Center Dr Ste 245 Oklahoma City OK 73112-2322 | |
| (405) 863-6115 | |
| Not Available |
| Full Name | Moore Restored, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4200 Perimeter Center Dr Ste 245, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Barbara Ellen Moore (PRESIDENT) |
| Authorized Official Contact | 4058636115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Restored, Inc 9041 Nw 81st St Yukon OK 73099-8825 Ph: (405) 863-6115 | Moore Restored, Inc 4200 Perimeter Center Dr Ste 245 Oklahoma City OK 73112-2322 Ph: (405) 863-6115 |
| NPI Number | 1861991465 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861991465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6337 (Oklahoma) | Primary |
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