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Individual
DR. GEORGE WALTER MOORE
Active
Individual
DR. GEORGE WALTER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00039482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147297
LABOR AND INDUSTRY
WA
01
—
080177572
RAILROAD MEDICARE
WA
05
—
8275059
—
WA
01
—
MD00039482
STATE LICENSE NUMBER
WA
Enumeration date
06/08/2006
Last updated
04/04/2012
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