Individual
DR. WILLIAM L. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4011 TALBOT RD S, SUITE 220, RENTON, WA 98055-5791
(425) 656-5350
(425) 656-5350
Mailing address
4011 TALBOT RD S, SUITE 220, RENTON, WA 98055-5791
(425) 656-5350
(425) 656-5350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-12228
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0238384
HMSA - KMWCW
HI
01
—
00B0238382
HMSA - KMS
HI
05
—
51701202
—
HI
05
—
51701203
—
HI
Enumeration date
10/19/2006
Last updated
05/22/2014
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