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Individual

DANIEL L MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-6423
(217) 222-9807
Mailing address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-6423
(217) 222-9807

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-108653
IL
207RG0100X
Gastroenterology Physician
Primary
036-108653
IL

Other

Enumeration date
09/13/2007
Last updated
11/27/2023
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