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Individual
JOHN DAVIS MOORE
Active
Individual
JOHN DAVIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
58651
TN
207LP3000X
Pediatric Anesthesiology Physician
Primary
88397
SC
207LP3000X
Pediatric Anesthesiology Physician
A119480
CA
Other
Enumeration date
03/17/2006
Last updated
09/22/2022
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