Organization
CHRISTINE L MOORE DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY COLLINS (PRACTICE ADMINISTRATOR)
(816) 322-0701
Entity
Organization
Contact information
Practice address
6325 BLUE RIDGE BLVD, SUITE C, RAYTOWN, MO 64133-4886
(816) 322-0701
(816) 322-2035
Mailing address
6325 BLUE RIDGE BLVD, SUITE C, RAYTOWN, MO 64133-4886
(816) 322-0701
(816) 322-2035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25009021
BCBS OF KC
MO
Enumeration date
05/27/2006
Last updated
10/26/2007
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