Individual
RICHARD BRUCE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1907 W MORRIS BLVD, SUITE B, MORRISTOWN, TN 37813-3860
(423) 587-2707
(423) 587-3224
Mailing address
PO BOX 70, BULLS GAP, TN 37711-0070
(423) 235-0063
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000001279
TN
Other
Enumeration date
08/28/2006
Last updated
02/10/2009
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