Individual
DONNA ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2528 WHEATON WAY #206, BREMERTON, WA 98310-3305
(360) 373-8272
(360) 373-7054
Mailing address
2528 WHEATON WAY #206, BREMERTON, WA 98310-3305
(360) 373-8272
(360) 373-7054
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00024149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100692
—
WA
Enumeration date
09/02/2006
Last updated
11/28/2007
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