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Organization

CHRISTINE L MOORE DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES COLLINS (PRACTICE ADMINISTRATOR)
(816) 265-6525
Entity
Organization

Contact information

Practice address
402 W PINE ST, #K, RAYMORE, MO 64083-9075
(816) 322-0701
(816) 322-2035
Mailing address
PO BOX 52, RAYMORE, MO 64083-0052
(816) 265-6525
(816) 322-1311

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25009011
BCBS OF KC
MO
05
506240506
MO
Enumeration date
05/26/2006
Last updated
02/18/2015
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