DR. Burton Emerson Moore

NPI #1063540540 in Rockford, Illinois

Provider Information

NPI Number: 1063540540
Entity Type: Individual
Name: DR. Burton Emerson Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Enumeration Date: Feb 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2222 E STATE ST
Address 2: ROOM 108
City: Rockford
State: Illinois
ZIP Code: 61104-1573
Phone: (815) 962-7922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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