Individual
DR. JOSEPH ANDREW MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613
(417) 328-6040
Mailing address
800 N JUSTICE ST, BOX 16, HENDERSONVILLE, NC 28791-3410
(828) 694-8350
(828) 694-7654
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME86388
FL
207RI0011X
Interventional Cardiology Physician
2011007291
MO
207RI0011X
Interventional Cardiology Physician
Primary
9600647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4147194004
CIGNA
FL
01
—
4458938
AETNA HMO/PPO
FL
01
—
593221727
TRICARE
—
01
—
62792
BCBS
FL
Enumeration date
07/10/2006
Last updated
09/02/2021
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