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Individual

DR. JUSTIN B MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8533 E 32ND ST N, WICHITA, KS 67226-2611
(316) 293-2633
(316) 293-1866
Mailing address
PO BOX 1358, WICHITA, KS 67201-1358
(316) 293-3429
(316) 293-1882

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-30959
KS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
04-30959
KS

Other

Enumeration date
02/22/2007
Last updated
06/25/2014
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