Jacob R Moore MD Sc

NPI #1144097254 in Morrison, Illinois

Provider Information

NPI Number
1144097254
Entity Type
Organization
Organization Name
Jacob R Moore MD Sc
Primary Specialty
Clinic/Center - Emergency Care
Enumeration Date
Dec 8, 2023
Last Updated
Dec 8, 2023

Practice Location

Address
303 N JACKSON ST
ZIP Code
61270-3042
Phone
(815) 772-4003

Authorized Official

Name
JACOB MOORE, MD
Title
PRESIDENT/TRESURER/SECRETARY
Phone
(815) 988-3623

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Emergency CareEmergency Care

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