Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

South Moore Medical Clinic, PC

Organization Family Medicine Physician · NPI 1972545218

South Moore Medical Clinic, PC provides Family Medicine Physician services in Moore, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14800 S Western Ave
Moore, OK 73170-7112
Phone: (405) 912-4900
Fax: (405) 912-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1972545218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Layne — Physician · (405) 912-4900
Other names South Moore Medical Clinic
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 25887, Oklahoma City, OK 73125-0887

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