Individual
DR. JAMES BRYAN MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 DOLBEER AVE, EUREKA, CA 95501
(707) 445-5431
(707) 445-3710
Mailing address
6801 CIRCLE VIEW DRIVE, NEW HOPE, PA 18938
(707) 845-1628
(707) 445-3710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A45979
CA
2085R0202X
Diagnostic Radiology Physician
MD425429
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101227147
—
PA
Enumeration date
01/25/2006
Last updated
10/22/2011
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