Dr. Timothy J Moser, D.O.
Family Medicine in Midwest City, OK. Individual provider (NPI-1).
NPI number1790777035
StatusActive
Last updated in NPPESApr 20, 2010
Details
- NPI
- 1790777035
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy J Moser
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2005
- Last updated
- Apr 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3207 | OK | Yes |
Practice location
1212 S Douglas BlvdMidwest City, OK 73130-5213
Phone 405-736-6811 · Fax 405-736-6863
Mailing address
1212 S Douglas BlvdMidwest City, OK 73130-5213
Phone 405-736-6811 · Fax 405-736-6863
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