Individual
MR. JOHN PASCAL MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
105 US HIGHWAY 80 E, DEMOPOLIS, AL 36732-3605
(334) 289-4000
(334) 287-2594
Mailing address
105 US HIGHWAY 80 E, DEMOPOLIS, AL 36732-3605
(334) 289-4000
(334) 287-2594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-037521
AL
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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