Individual
CHRISTOPHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
206 S WASHINGTON ST STE A, MC LEANSBORO, IL 62859-5607
(618) 643-2835
Mailing address
24345 HIGHWAY 15, UNION, MS 39365-8575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036162078
IL
207Q00000X
Family Medicine Physician
25257
MS
Other
Enumeration date
06/22/2015
Last updated
02/29/2024
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