Individual
MARCIA ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 ESPLANADE, SUITE 3, CHICO, CA 95926
(530) 343-5006
(530) 343-5074
Mailing address
1601 ESPLANADE, SUITE 3, CHICO, CA 95926
(530) 343-5006
(530) 343-5074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G049247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G492470
—
CA
Enumeration date
05/08/2006
Last updated
11/04/2015
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