Individual
CHRISTOPHER D MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 S MOUNT AUBURN RD STE 342, CAPE GIRARDEAU, MO 63703-4911
(573) 331-5677
(573) 331-5678
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2003008015
MO
363AS0400X
Surgical Physician Assistant
PA53393
CA
Other
Enumeration date
07/19/2005
Last updated
03/03/2021
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