| Moore Primary Care Inc | |
|
1400 Se 4th St Ste H Moore OK 73160-7328 | |
| (405) 799-7400 | |
| Not Available |
| Full Name | Moore Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Se 4th St, Moore, Oklahoma |
| Authorized Official Name and Position | Randall A 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 Inc Po Box 25016 Oklahoma City OK 73125-0016 Ph: () - | Moore Primary Care Inc 1400 Se 4th St Ste H Moore OK 73160-7328 Ph: (405) 799-7400 |
| NPI Number | 1063536233 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063536233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2438 (Oklahoma) | Primary |
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