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Individual
PHILIP W MOORE
Active
Individual
PHILIP W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
OS015726
PA
207R00000X
Internal Medicine Physician
OS015726
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
OS015726
PA
208M00000X
Hospitalist Physician
2143
ME
208M00000X
Hospitalist Physician
OS015726
PA
Other
Enumeration date
06/19/2008
Last updated
04/16/2024
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