Individual
JEFFREY SCRANTON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5433
Mailing address
1001 PARKVIEW DR, ROSEVILLE, CA 95661-4736
(916) 784-5433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G054567
CA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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