DR. John Russell Moore, M.D.

NPI #1114977550 in Independence, Missouri

Provider Information

NPI Number: 1114977550
Entity Type: Individual
Name: DR. John Russell Moore, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: May 10, 2006
Last Updated: Sep 21, 2014

Practice Location

Address: 19001 E 48TH ST S
City: Independence
State: Missouri
ZIP Code: 64055
Phone: (816) 836-8831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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