Individual
DAVID SCOTT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4559 N CEDAR AVE, FRESNO, CA 93726-2540
(559) 222-3400
Mailing address
4559 N CEDAR AVE, FRESNO, CA 93726-2540
(559) 222-3400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19765
CA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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