Organization
G.DOUGLAS MOIR, M.D., INC
Active
Parent organization
G.DOUGLAS MOIR, M.D., INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
G.DOUGLAS MOIR, M.D., INC
Authorized official
MS. EDNA B MANORE (FINANCIAL ADMINISTRATOR)
(760) 741-9318
Entity
Organization
Contact information
Practice address
810 E GRAND AVE, ESCONDIDO, CA 92025-3402
(760) 741-9318
(760) 741-9484
Mailing address
810 E GRAND AVE, ESCONDIDO, CA 92025-3402
(760) 741-9318
(760) 741-9484
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C36411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20352
GROUP ID# (PTAN)
CA
Enumeration date
12/14/2006
Last updated
02/06/2008
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