About Otha Moore
Otha Moore is a Exclusive Provider Organization healthcare provider based in Southfield, Michigan. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/22/2015. The National Provider Identifier (NPI) number assigned to this provider is 1275902132.
No pharmaceutical payment records or Medicare utilization data were found in the CMS databases for this provider. This does not reflect on the quality of care provided.
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Practice Information
- Specialty Exclusive Provider Organization
- Location Southfield, MI
- Active Since 09/22/2015
- Last Updated 09/22/2015
- Taxonomy Code 302F00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1275902132
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.