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Individual

DR. WARREN M. MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
515 7TH AVE STE 230, FAIRBANKS, AK 99701-4949
(907) 456-4234
(907) 451-9168
Mailing address
515 7TH AVE STE 230, FAIRBANKS, AK 99701-4949
(907) 456-4234
(907) 451-9168

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA933
ID
111N00000X
Chiropractor
Primary
CHIC365
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004390
AK
Enumeration date
10/03/2006
Last updated
01/16/2019
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