Individual
SARAH C. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 JOHN Q HAMMONS DR, DEAN MEDICAL CENTER, MADISON, WI 53717-1959
(608) 410-2700
Mailing address
1200 JOHN Q HAMMONS DR, DEAN MEDICAL CENTER, MADISON, WI 53717-1959
(608) 410-2700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
45992
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34748800
—
WI
Enumeration date
05/11/2006
Last updated
07/17/2007
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