Individual
JAMES R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
29 NESPELEM/SANPOIL ST, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2945
Mailing address
29 NESPELEM/SANPOIL ST, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2945
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100
—
WA
Enumeration date
10/24/2006
Last updated
07/26/2007
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