Individual
DR. GREGORY ANTHONY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74B CENTENNIAL LOOP, SUITE 100, EUGENE, OR 97401-7918
(541) 686-3791
(541) 686-3795
Mailing address
74B CENTENNIAL LOOP, SUITE 100, EUGENE, OR 97401-7918
(541) 686-3791
(541) 686-3795
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD28629
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500601851
—
OR
Enumeration date
02/21/2007
Last updated
03/22/2011
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