Individual
CHRISTOPHER VINCENT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1322 3RD ST SE STE 240, PUYALLUP, WA 98372-3771
(253) 697-1420
(253) 697-1439
Mailing address
1322 3RD ST SE STE 240, PUYALLUP, WA 98372-3771
(253) 697-1420
(253) 697-1439
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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