Individual provider · Type 1 NPI

Roger L. Moore, PA

Physician Assistant · Tulsa, OK

NPI number 1295793099 Active

Practice location

2929 S Garnett Rd, C/o Medcenter
Tulsa, OK 74129-5101

Call (918) 665-1520 Map

Fax (405) 749-4561

Mailing address

PO Box 22063, Dept 0289
Tulsa, OK 74121-2063

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1378 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295793099

Roger L. Moore, PA's National Provider Identifier is 1295793099, issued on May 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on May 1, 2008.