Individual
DR. KRISTINE REESER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 469-8014
(520) 469-8009
Mailing address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 469-8014
(520) 469-8009
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28756
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
877471
AHCCCS ID #
AZ
Enumeration date
07/06/2006
Last updated
10/23/2019
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