Organization
MOORE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILSON TOTTEN MD FRCS (PRESIDENT)
(907) 747-3446
Entity
Organization
Contact information
Practice address
209 MOLLER DRIVE, SITKA, AK 99835
(907) 747-2616
Mailing address
PO BOX 279, SITKA, AK 99835-0279
(907) 747-2616
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
227080
AK
207Q00000X
Family Medicine Physician
227080
AK
207R00000X
Internal Medicine Physician
227080
AK
208600000X
Surgery Physician
Primary
227080
AK
Other
Enumeration date
04/17/2007
Last updated
12/21/2007
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