Individual
DR. GEORGE DOUGLAS MOIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 E GRAND AVE, ESCONDIDO, CA 92025-3402
(760) 741-9318
(760) 741-9484
Mailing address
810 E GRAND AVE, ESCONDIDO, CA 92025-3402
(760) 741-9318
(760) 741-9484
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C36411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C364110
—
CA
01
—
GG654Z
MEDICARE PTAN
CA
Enumeration date
07/18/2005
Last updated
12/30/2013
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