DR. Douglas Loran Moore, OD

NPI #1679574396 in Mountain Grove, Missouri

Provider Information

NPI Number: 1679574396
Entity Type: Individual
Name: DR. Douglas Loran Moore, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 3, 2005
Last Updated: Aug 14, 2020

Practice Location

Address: 1902 W 19TH ST
Address 2: SUITE A
City: Mountain Grove
State: Missouri
ZIP Code: 65711-1287
Phone: (417) 926-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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