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Individual

DR. EUGENE FIELD MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., CFAAFP

Contact information

Practice address
75-233 NANI KAILUA DR, UNIT # 97, KAILUA KONA, HI 96740-2033
(206) 915-9855
Mailing address
75-233 NANI KAILUA DR, UNIT # 97, KAILUA KONA, HI 96740-2033
(206) 915-9855

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD 00004674
WA
207Q00000X
Family Medicine Physician
Primary
MD 2444
HI

Other

Enumeration date
01/10/2012
Last updated
11/26/2014
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