IndividualActive
Evan Moore, M.D.
NPI 1699982496 · Otolaryngology Physician · Tulsa, OK
Provider details
- NPI number
- 1699982496
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 28974 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5020 E 68th St
Tulsa, OK 74136-3307
Phone: (918) 492-3636
Approximate (ZIP-level) locationGet directions
Mailing address
5020 E 68th St
Tulsa, OK 74136-3307
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2012-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.