Individual
ADRIENNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
US HWY 491 NORTH, DEPT OF OB/GYN, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-7011
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-7011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
198113
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
G83869
CA
Other
Enumeration date
05/17/2007
Last updated
03/24/2020
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