Ethel Lamar Moore, M.D.

NPI #1053437079 in Harlem, Montana

Provider Information

NPI Number: 1053437079
Entity Type: Individual
Name: Ethel Lamar Moore, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 21, 2007
Last Updated: Feb 1, 2008

Practice Location

Address: RR 1 BOX 67
City: Harlem
State: Montana
ZIP Code: 59526-9705
Phone: (406) 353-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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