Individual
RICHARD J. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7439
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00025198
WA
207Q00000X
Family Medicine Physician
MD00025198
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8112542
—
WA
Enumeration date
01/19/2007
Last updated
07/30/2009
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