Christine L Moore Do PC

NPI #1861449621 in Raytown, Missouri

Provider Information

NPI Number: 1861449621
Entity Type: Organization
Organization Name: Christine L Moore Do PC
Primary Specialty: Family Medicine
Enumeration Date: May 27, 2006
Last Updated: Oct 26, 2007

Practice Location

Address: 6325 BLUE RIDGE BLVD
Address 2: SUITE C
City: Raytown
State: Missouri
ZIP Code: 64133-4886
Phone: (816) 322-0701

Authorized Official

Name: MR. JAY COLLINS
Title: PRACTICE ADMINISTRATOR
Phone: (816) 322-0701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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