Individual
MR. JUDSON RAMSAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3015 SQUALICUM PKWY, SUITE 200, BELLINGHAM, WA 98225-1945
(360) 733-2092
(360) 733-4013
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 733-2092
(360) 733-4013
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
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