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Contact Information

MELISSA N MOORE, PA
3450 FRANK PHILLIPS
SUITE 200
BARTLESVILLE, OK74006
 Phone: 918-338-3781
 Fax: 918-338-3782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MELISSA N MOORE · (Female)

NPI # 1447555628
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/19/2011
Last updated 11/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1976
  • OK Other PENDING MEDICARE PTAN
Hospital affiliation(s)
  • INTEGRIS BASS BAPTIST HEALTH CENTER - (Acute Care)
    600 SOUTH MONROE
    ENID, OK 73701
  • ST MARY'S REGIONAL MEDICAL CENTER - (Acute Care)
    305 SOUTH 5TH STREET
    ENID, OK 73701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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