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Individual

DR. FORREST O MOORE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36453
AZ
208600000X
Surgery Physician
M0188
TX
2086S0102X
Surgical Critical Care Physician
311893
LA
2086S0102X
Surgical Critical Care Physician
36453
AZ
2086S0102X
Surgical Critical Care Physician
M0188
TX
2086S0127X
Trauma Surgery Physician
Primary
311893
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191785
AZ
Enumeration date
07/14/2006
Last updated
05/07/2026
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