Individual
DR. PATRICK DEVINCENT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3414 MOSS ST, SUITE F&G, LAFAYETTE, LA 70507-6107
(337) 706-8986
(337) 706-8714
Mailing address
PO BOX 70, CARENCRO, LA 70520-0070
(337) 706-8986
(337) 706-8714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024344
LA
Other
Enumeration date
07/27/2005
Last updated
10/05/2011
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