NPI 1063536233

Moore Primary Care INC

Organisation Family Medicine Physician Moore, OK

Practice location

Address: 1400 SE 4th St STE H, Moore, OK 73160-7328
Phone: (405) 799-7400
Mailing address: PO Box 25016, Oklahoma City, OK 73125-0016

Authorised official

Name: Randall a Carter
Title: Owner
Phone: (405) 799-7400

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2438 (OK)

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1063536233
Entity type: Organization
NPI issued: 16 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.