Individual
CLOISE BARTON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 S 2ND AVE, WALLA WALLA, WA 99362-4118
(509) 527-8151
(509) 527-8010
Mailing address
PO BOX 1398, WALLA WALLA, WA 99362-0309
(509) 527-8151
(509) 527-8010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015136
—
WA
Enumeration date
12/13/2005
Last updated
03/30/2017
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