| Moore Primary Care Geriatrics Aprn-cnp, Pc | |
|
1400 Se 4th St Ste C Moore OK 73160-7329 | |
| (405) 799-7400 | |
| Not Available |
| Full Name | Moore Primary Care Geriatrics Aprn-cnp, Pc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1400 Se 4th St, Moore, Oklahoma |
| Authorized Official Name and Position | Rebecca Carter (OWNER) |
| Authorized Official Contact | 4057997400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Primary Care Geriatrics Aprn-cnp, Pc 1400 Se 4th St Ste C Moore OK 73160-7329 Ph: () - | Moore Primary Care Geriatrics Aprn-cnp, Pc 1400 Se 4th St Ste C Moore OK 73160-7329 Ph: (405) 799-7400 |
| NPI Number | 1003227547 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003227547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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