Mary Moore, D.O

NPI 1902837776 · on the registry since 2006 · sole proprietor

Practice

Address: 100 S Bliss Ave
Tahlequah, OK 74464
Phone: (918) 458-3104
Fax: (918) 458-3580
Organisation at this address: Cherokee Nation
W W Hastings Indian Hospital
Hastings Indian Medical Center
Northeastern State University College Of Optometry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 186

Registry record

Primary taxonomy: 207PE0004X
207PE0004X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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