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Individual

WILLIAM HARRISON MOORE JR.

Active
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Individual

WILLIAM HARRISON MOORE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
15177
AL
207VG0400X
Gynecology Physician
Primary
15177
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00002851MOO
AL
01
51119786
BLUE CROSS/BLUE SHIEL
AL
Enumeration date
07/17/2006
Last updated
10/10/2013
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