Dennis Moore, M.D.

NPI #1053452250 in Grandview, Washington

Provider Information

NPI Number: 1053452250
Entity Type: Individual
Name: Dennis Moore, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Feb 9, 2007
Last Updated: Aug 1, 2024

Practice Location

Address: 1003 WALLACE WAY
City: Grandview
State: Washington
ZIP Code: 98930-8805
Phone: (509) 203-1080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X

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