Search › Oklahoma › 207V00000X
Jacob Moore, D.O
NPI 1508065244 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1111 N Lee Ave
Suite 300
Oklahoma City, OK 73103 - Phone
- (405) 272-7005
- Fax
- (405) 272-7391
- Organisation at this address
- Ips Research
Al-Botros Pllc
Pathwrite, Inc.
Preferred Rx, Llc
Well Again Mht LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma