Individual
JOHANNA BARAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 548-1550
Mailing address
1414 E MAIN ST STE 102, SANTA MARIA, CA 93454-4813
(805) 548-1550
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A117062
CA
Other
Enumeration date
02/26/2007
Last updated
08/30/2023
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