# CHRISTINE L MOORE DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306892666
- **Authorized official:** JAMES COLLINS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (816) 265-6525

## Contact information

- **Practice address:** 402 W PINE ST, \#K, RAYMORE, MO 64083-9075
- **Practice address phone:** (816) 322-0701
- **Practice address fax:** (816) 322-2035
- **Mailing address:** PO BOX 52, RAYMORE, MO 64083-0052
- **Mailing address phone:** (816) 265-6525
- **Mailing address fax:** (816) 322-1311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 02/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 25009011 | BCBS OF KC | MO |
| 05 | — | 506240506 | — | MO |