Individual
WILLIAM MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1245 GLENWOOD DR, WEST MONROE, LA 71291-5539
(318) 388-1144
Mailing address
1245 GLENWOOD DR, WEST MONROE, LA 71291-5539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP003050
LA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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