Individual
DR. JOHN RUSSELL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 FRONT AVE, SUITE 100, LUTHERVILLE, MD 21093-5300
(410) 296-6232
(410) 296-7363
Mailing address
1400 FRONT AVE, SUITE 100, LUTHERVILLE, MD 21093-5300
(410) 296-6232
(410) 296-7363
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
D22727
MD
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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