Organization
G.DOUGLAS MOIR, M.D., INC
Active
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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