Individual
DR. PATRICK JERRELL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 736-1111
Mailing address
1355 EL CAMINO REAL UNIT 727, REDWOOD CITY, CA 94063-2136
(252) 916-1431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.150357
IL
207RH0003X
Hematology & Oncology Physician
Primary
036150357
IL
207RH0003X
Hematology & Oncology Physician
78530
AZ
208M00000X
Hospitalist Physician
036.150357
IL
Other
Enumeration date
05/12/2016
Last updated
09/17/2025
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