Organization
CANDICE MOORE INC
Active
Other names
Outpatient Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE MOORE MD (PRESIDENT)
(417) 448-5800
Entity
Organization
Contact information
Practice address
1600 W ASHLAND ST, NEVADA, MO 64772-1712
(417) 448-5800
(417) 448-5800
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
06/18/2008
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