Individual
RICHARD ROSS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
607 DIVISION ST, NOME, AK 99762-1710
(907) 443-3221
(907) 443-4869
Mailing address
PO BOX 1710, NOME, AK 99762-1710
(907) 443-3221
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
143027
AK
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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