Organization
DR. JON M MOORE, AN OPERATING DIVISION OF SAINT JOHN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T PAQUETTE (CEO, PROVIDENCE HEALTH)
(913) 596-4000
Entity
Organization
Contact information
Practice address
3550 S 4TH ST, SUITE 260, LEAVENWORTH, KS 66048-5071
(913) 680-0044
(913) 680-0049
Mailing address
8919 PARALLEL PKWY, SUITE 131, KANSAS CITY, KS 66112-1636
(913) 825-6531
(913) 328-7011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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