Individual
DAVID F. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99-840 IWAIWA ST, AIEA, HI 96701-3280
(808) 828-0202
Mailing address
99-840 IWAIWA ST, AIEA, HI 96701-3280
(808) 828-0202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G42808
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G428080
—
CA
01
—
MD 3962
MD LICENSE
HI
Enumeration date
11/01/2006
Last updated
12/09/2008
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