Jason B. Moore

NPI #1447236450 in Bristol, Tennessee

Provider Information

NPI Number: 1447236450
Entity Type: Individual
Name: Jason B. Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Dec 21, 2005
Last Updated: Feb 6, 2019

Practice Location

Address: 208 MEDICAL PARK BLVD
City: Bristol
State: Tennessee
ZIP Code: 37620-7343
Phone: (423) 989-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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