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Individual
DR. MARKEITA R. MOORE
Active
Individual
DR. MARKEITA R. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.127687
IL
208000000X
Pediatrics Physician
13157-320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100306967
—
WI
Enumeration date
08/03/2008
Last updated
02/18/2025
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