Individual
DR. FREDRICK JAMES MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5523 E PLEASANT VALLEY BLVD, SUITE #3, TYRONE, PA 16686-8570
(814) 684-7338
(814) 684-7338
Mailing address
5523 E PLEASANT VALLEY BLVD, SUITE #3, TYRONE, PA 16686-8570
(814) 684-7338
(814) 684-7338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002099L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007527580003
—
PA
Enumeration date
08/19/2006
Last updated
03/14/2016
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