Individual
DR. JAMES N MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
618 MAPLE VALLEY DR STE B, FARMINGTON, MO 63640-1976
(573) 756-3400
(573) 756-0800
Mailing address
618 MAPLE VALLEY DR STE B, FARMINGTON, MO 63640-1976
(573) 756-3400
(573) 756-0800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4G90
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417973660
—
MO
Enumeration date
05/16/2006
Last updated
08/15/2025
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