Individual provider · Type 1 NPI

Mary Kathleen Moore, DO

Emergency Medical Services (Emergency Medicine) Physician · Tahlequah, OK

NPI number 1902837776 Active

Practice location

100 S Bliss Ave
Tahlequah, OK 74464-2512

Call (918) 458-3104 Map

Fax (918) 458-3580

Mailing address

PO Box 675
Tahlequah, OK 74465-0675

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X3976 (OK)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

180 other providers at this address

About NPI 1902837776

Mary Kathleen Moore, DO's National Provider Identifier is 1902837776, issued on Jul 6, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 8, 2007.