Shannon Moore

NPI #1174822084 in Erie, Pennsylvania

Provider Information

NPI Number: 1174822084
Entity Type: Individual
Name: Shannon Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Mar 17, 2011
Last Updated: Mar 25, 2021

Practice Location

Address: 300 STATE ST
Address 2: SUITE 301
City: Erie
State: Pennsylvania
ZIP Code: 16507-1427
Phone: (814) 877-7907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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