Individual
DR. DAVID L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2100
Mailing address
1020 W 59TH ST, KANSAS CITY, MO 64113-1139
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35526
MO
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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