Individual
DR. JONATHAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 Y ST STE 3500, SACRAMENTO, CA 95817-2307
(916) 734-4561
(916) 734-8094
Mailing address
4860 Y ST STE 3500, SACRAMENTO, CA 95817-2307
(916) 734-2893
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57937
AZ
Other
Enumeration date
07/19/2019
Last updated
09/28/2021
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