Individual
DR. PATRICK M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28078 BAXTER RD, SUITE 420, MURRIETA, CA 92563-1402
(951) 566-9370
(951) 200-4401
Mailing address
29910 MURRIETA HOT SPRINGS ROAD, SUITE G345, MURRIETA, CA 92563-3814
(951) 566-9370
(951) 200-4401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C53431
CA
208600000X
Surgery Physician
MD00032619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C53431
CALIFORNIA LICENSE
CA
Enumeration date
03/20/2006
Last updated
08/01/2017
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