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Individual

ANDREW CHRISTOPHER MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
NBHC NAVAL BASE CORONADO, BLDG. 601, SAN DIEGO, CA 92135-7046
(619) 545-4359
(619) 545-0452
Mailing address
4136 OREGON ST, SAN DIEGO, CA 92104-1726
(301) 767-6247

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101258752
VA
208D00000X
General Practice Physician
Primary
0101258752
VA

Other

Enumeration date
04/14/2014
Last updated
10/02/2023
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