Individual
LEONARD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(209) 603-8524
Mailing address
2950 RESEARCH PARK DR, SOQUEL, CA 95073-2000
(209) 603-8524
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G29845
CA
Other
Enumeration date
01/23/2006
Last updated
05/24/2011
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