MEDICARE: CHRISTOPHER VINCENT MOSES D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	1908	OK

General Provider Information

NPI Number	:	1801838826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER VINCENT MOSES D.O

Provider Business Mailing Address
First Line	:	8222 S HARVARD AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-1613
Country	:	US
Telephone Number	:	918-493-3838
Fax Number	:	918-493-1917

Provider Business Practice Location Address
First Line	:	8222 S. HARVARD
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-1613
Country	:	US
Telephone Number	:	918-493-3838
Fax Number	:	918-493-1917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	11/11/2008

Similar Medicare Providers

1710139076 — C.V. MOSES, D.O. INC.
Practice Location Address:

8222 S. HARVARD AVE
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