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Individual
CHRIS C D MOORE
Active
Individual
CHRIS C D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00038494
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039578
L&I
WA
05
—
8268989
—
WA
01
—
9798MO
INDIVIDAUL BLUE SHIELD
WA
01
—
MD3873W
ALASKA DSHS
WA
Enumeration date
06/07/2006
Last updated
04/07/2008
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