Clinton C Moore (NPI# 1992813505, PAC ID# 3274527700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1992813505 |
| PAC ID by PECOS | 3274527700 |
| Professional Enrollment ID | I20040408001090 |
| Full Name | Clinton C Moore |
| Organization Legal Name | CCM CHIROPRACTIC LLC |
| Address |
413 E Main St Locust Grove OK 74352-5116 |
| Phone Number | 9184792827 |
| Gender | M |
| Credential | DC |
| Graduation Year | 2002 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9830375161 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 413 E Main St, Locust Grove, OK 74352-5116 | 9184792827 | CCM CHIROPRACTIC LLC |
| Organization Legal Name | CCM CHIROPRACTIC LLC |
| Physicians | 1 |
| Street Address |
413 E MAIN ST |
| City | LOCUST GROVE |
| State | OK |
| Zip | 74352-5116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lora M Collier | Family Medicine | Integrated Community Clinics Pa | 609 E Main St, Locust Grove, OK 74352-5139 |
| Mitchell J. Collier | Family Medicine | Integrated Community Clinics Pa | 609 E Main St, Locust Grove, OK 74352-5139 |
| Whitney M Burk | Nurse Practitioner | Integrated Community Clinics Pa | 609 E Main St, Locust Grove, OK 74352-5139 |
| City | LOCUST GROVE |
| Zip Code | 74352 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LOCUST GROVE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Clinton C Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.