Individual
DR. ROBERT W MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 PECAN PARK AVE, ALEXANDRIA, LA 71303-3361
(318) 442-1002
(318) 442-1008
Mailing address
225 PECAN PARK AVE, ALEXANDRIA, LA 71303-3361
(318) 442-1002
(318) 442-1008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017168
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1359505
—
LA
Enumeration date
10/13/2005
Last updated
12/21/2009
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