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Individual

DR. JOHN WILLIAM MURRAY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5855
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G71756
CA
2080P0202X
Pediatric Cardiology Physician
Primary
G71756
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G717560
CA
Enumeration date
08/17/2006
Last updated
12/13/2021
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