Individual
DR. JOHN ERIC MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4498
(509) 525-3720
(509) 522-1593
Mailing address
40220 SADDLEBROOK ST, MURRIETA, CA 92563-6100
(951) 600-9640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01022001116
VA
Other
Enumeration date
08/01/2005
Last updated
03/25/2020
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