Individual
MR. KEITH L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 ANDOVER ST, SAN FRANCISCO, CA 94110-6018
(415) 424-2615
Mailing address
704 ANDOVER ST, SAN FRANCISCO, CA 94110-6018
(415) 424-2615
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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