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

Robert Wade Moore

Individual provider Peer Specialist · NPI 1417788126

Robert Wade Moore is a Peer Specialist in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4915 W 84th St
Tulsa, OK 74131-4427
Phone: (918) 407-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1417788126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address4915 W 84th St, Tulsa, OK 74131-4427

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