Organization
OCF WEST GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E MOORE MD (OWNER)
(406) 563-4386
Entity
Organization
Contact information
Practice address
307 E PARK AVE, ANACONDA, MT 59711-2320
(406) 563-4386
Mailing address
PO BOX1487, ANACONDA, MT 59711-1487
(406) 563-4386
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7622
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861587818
—
MT
Enumeration date
12/08/2009
Last updated
12/08/2009
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