Individual
DR. WALTER BRIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 W CLARKE AVE, MILFORD, DE 19963-1840
(302) 422-4047
(302) 424-0844
Mailing address
8279 SHAWNEE RD, LINCOLN, DE 19960-3410
(302) 422-4047
(302) 424-0844
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C10002134
DE
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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