MRS. Stephanie Polk Moore, M.D.

NPI #1902955149 in Plattsburgh, New York

Provider Information

NPI Number: 1902955149
Entity Type: Individual
Name: MRS. Stephanie Polk Moore, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jan 9, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 159 MARGARET ST
Address 2: SUITE 100
City: Plattsburgh
State: New York
ZIP Code: 12901-1874
Phone: (518) 324-2040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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