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Search › Oklahoma › 175T00000X

Courtney Moore

NPI 1770307662 · on the registry since 2024 · sole proprietor

Practice

Address
3445 S Sheridan Rd
Tulsa, OK 74145
Phone
(918) 610-3366
Fax
(918) 610-3344
Organisation at this address
Maric Healthcare Llc
Oklahoma Treatment Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-08

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