Individual
MR. JUDSON RAMSAY MOORE
Active
Individual
MR. JUDSON RAMSAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60056503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243488
L&I AND CRIME VICTIMS
WA
05
—
1871773028
—
WA
01
—
6811MO
REGENCE
WA
01
—
9320439
AETNA
WA
Enumeration date
11/05/2007
Last updated
11/19/2010
Update your record
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