Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Moore Medical Clinic, PC

Organization Family Medicine Physician · NPI 1972545218

South Moore Medical Clinic, PC is a Family Medicine Physician 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
Show map & directions

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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