MR. Robert Wallace Moore JR., M.D.

NPI #1487918413 in Destin, Florida

Provider Information

NPI Number: 1487918413
Entity Type: Individual
Name: MR. Robert Wallace Moore JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Jun 25, 2012
Last Updated: Jun 25, 2012

Practice Location

Address: 4563 LANDFALL CT
City: Destin
State: Florida
ZIP Code: 32541-5313
Phone: (850) 650-5784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X

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