Search › Oklahoma › 104100000X
Jerry Moffatt
NPI 1497156343 · on the registry since 2014
Practice
- Address
- 815 S Quaker Ave
Tulsa, OK 74120 - Phone
- (918) 350-4449
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-10
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