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1295793099
ROGER L. MOORE
TULSA, OK
NPI
1295793099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1378)
Enumeration Date
2006-05-02
Last Update Date
2008-05-01
Business Address
-- ROGER L. MOORE PA
2929 S GARNETT RD C/O MEDCENTER
TULSA, OK 74129-5101
Phone number: 918-665-1520
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Mailing Address
-- ROGER L. MOORE PA
PO BOX 22063 DEPT 0289
TULSA, OK 74121-2063
Phone number: 405-751-4664
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