Individual
ALISON AHERN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A49054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A490540
—
CA
Enumeration date
07/19/2006
Last updated
11/26/2019
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