Organization
THOMAS A MOORE SR. MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
THOMAS A MOORE SR. MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS AQUINAS MOORE MD (PRESIDENT)
(701) 306-6126
Entity
Organization
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7200
Mailing address
1437 4TH ST N, FARGO, ND 58102-2732
(701) 306-6126
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7266
ND
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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