Individual
ALEXANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(925) 708-8981
Mailing address
26 FLAGSTONE CT, ALAMO, CA 94507-1601
(925) 708-8981
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
U3949
TX
2086X0206X
Surgical Oncology Physician
Primary
A153908
CA
2086X0206X
Surgical Oncology Physician
U3949
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
08/09/2024
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