Individual
RYAN CHRISTOPHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS021104
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/04/2017
Last updated
06/28/2021
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