Roger Moore, PA

NPI 1295793099 · on the registry since 2006

Practice

Address: 2929 S Garnett Rd
C/O Medcenter
Tulsa, OK 74129
Phone: (918) 665-1520
Fax: (405) 749-4561
Organisation at this address: Tulsa Emergency Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-01

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