Individual
DR. DOUGLAS LORAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1902 W 19TH ST, SUITE A, MOUNTAIN GROVE, MO 65711-1287
(417) 926-3937
(417) 926-3952
Mailing address
1902 W 19TH ST, SUITE A, MOUNTAIN GROVE, MO 65711-1287
(417) 926-3937
(417) 926-3952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03463
MO
Other
Enumeration date
08/03/2005
Last updated
08/14/2020
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