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Organization
CHRISTINE L MOORE DO PC
Active
Organization
CHRISTINE L MOORE DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COLLINS (PRACTICE ADMINISTRATOR)
(816) 265-6525
Entity
Organization
Contact information
Practice address
402 W PINE ST, #K, RAYMORE, MO 64083-9075
(816) 322-0701
(816) 322-2035
Mailing address
PO BOX 52, RAYMORE, MO 64083-0052
(816) 265-6525
(816) 322-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25009011
BCBS OF KC
MO
05
—
506240506
—
MO
Enumeration date
05/26/2006
Last updated
02/18/2015
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