Timothy L Moore in Oklahoma City - General Practice

Timothy L Moore - NPI 1518939792

Timothy L Moore is a General Practice in Oklahoma City, Oklahoma. Timothy L Moore practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy L Moore is 1518939792. The last update date is 2014-07-11.

Timothy L Moore's current location address is 3212 Sw 89th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4053783300 and fax number 4053783993. The mailing address for Timothy L Moore is 3212 Sw 89th St, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy L Moore
Address 3212 Sw 89th St, Oklahoma City, Oklahoma
Phone Number 4053783300
Fax Number 4053783993
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1518939792
Provider Enumeration Date 2006-02-02
Last Updated Date 2014-07-11

Provider Mailing Address Detail

Address 3212 Sw 89th St
City Oklahoma City
State Oklahoma (OK)
Post Code 731597956
Phone Number 4053783300
Fax Number 4053783993

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 2469
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100147190A OK --
P00040576 OK RAILROAD MEDICARE

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FAQs about Timothy L Moore

What is Timothy L Moore's area of expertise and its corresponding taxonomy classification?

The Timothy L Moore's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.

What is Timothy L Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Timothy L Moore is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.

When did Timothy L Moore receive its 1518939792 assignment?

The Timothy L Moore was assigned its 1518939792 on 2006-02-02, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518939792 to Timothy L Moore?

The Centers for Medicare & Medicaid Services originally issued the 1518939792 to Timothy L Moore on 2006-02-02.

As of what date were the details pertaining to Timothy L Moore last refreshed?

The information related to the Timothy L Moore, including its address, specialty, and other relevant details, was last updated on 2014-07-11.

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