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Individual

DR. IRIS JEAN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
(402) 502-6970
(402) 502-6930
Mailing address
8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
(402) 502-6970
(402) 502-6930

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
15436
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42154126400
NE
Enumeration date
11/07/2005
Last updated
11/27/2007
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