Individual
DR. JAMES MERTON MOORE III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
(913) 684-6208
Mailing address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
(913) 684-6208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28124
VA
174400000X
Specialist
Primary
31047
KS
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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