Individual
DR. WILLIAM DAVID MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1127 N WESTERN AVENUE, MARION, IN 46952-1164
(765) 662-4666
(765) 662-4106
Mailing address
1127 N WESTERN AVENUE, MARION, IN 46952-1164
(765) 662-4666
(765) 662-4106
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01043323A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100465860B
—
IN
Enumeration date
10/31/2006
Last updated
11/19/2012
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