Organization
MELITA N. MOORE,MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELITA N MOORE MD (CEO)
(916) 492-2110
Entity
Organization
Contact information
Practice address
2825 J ST, SUITE 440, SACRAMENTO, CA 95816-4300
(916) 492-2110
(916) 492-2111
Mailing address
2825 J ST, SUITE 440, SACRAMENTO, CA 95816-4300
(916) 492-2110
(916) 492-2111
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A108599
CA
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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