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Individual

DR. CHRISTOPHER R MOOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PC

Contact information

Practice address
1881 W 24TH ST, STE. B, YUMA, AZ 85364-6297
(928) 726-1122
(928) 726-7955
Mailing address
1881 W 24TH ST, STE. B, YUMA, AZ 85364-6297
(928) 726-1122
(928) 726-7955

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15872
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0400423
UNITED HEALTHCARE
AZ
01
2114K872
STATE FUND OF AZ
AZ
01
253716
STATE AHCCCS
AZ
01
AZ0818590
BLUECROSS/ BLUESHIELD
AZ
Enumeration date
09/14/2005
Last updated
05/05/2014
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