Individual
DR. MARY LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 THOMPSON RD, COOS BAY, OR 97420
(541) 269-0333
(541) 269-7389
Mailing address
1750 THOMPSON RD, BAY CLINIC LLP, COOS BAY, OR 97420
(541) 269-0333
(541) 267-7389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-076421
IL
Other
Enumeration date
08/09/2006
Last updated
12/10/2008
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