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Mr. Otha Moore

Exclusive Provider Organization

  •  Gender: Male
  •  Sole propriator: Yes

About Mr. Otha Moore

He is located at 18430 Westhampton, , in Southfield, MI 48075. Appointment can be made via the phone number (313) 844-1496.

Mr. Otha Moore - Address, Phone & Website

18430 Westhampton, , Southfield, MI 48075

(313) 844-1496

Medical Specialties & Taxonomy codes

Primary Specialty Taxonomy Code
Yes Exclusive Provider Organization 302F00000X

Licenses

State License Number
Michigan 7153185