Individual
DR. UZOMA BERTRAM MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11111 N. HARRELLS FERRY RD., # 137, BATON, LA 70816
(225) 270-1255
(225) 367-1045
Mailing address
11111 N HARRELLS FERRY RD, # 137, BATON ROUGE, LA 70816-8389
(225) 270-1255
(225) 367-1045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204952
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073148
—
LA
Enumeration date
04/23/2008
Last updated
03/21/2016
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