Individual
DR. DONALD LEE MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 982-4941
Mailing address
307 HAWLEY AVE APT 19, SYRACUSE, NY 13203-2479
(315) 383-6369
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
01/13/2023
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