DR. Henry R Moore III, MD

NPI #1932392099 in Urbana, Illinois

Provider Information

NPI Number: 1932392099
Entity Type: Individual
Name: DR. Henry R Moore III, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Aug 22, 2007
Last Updated: Mar 31, 2022

Practice Location

Address: 611 W PARK ST
City: Urbana
State: Illinois
ZIP Code: 61801-2529
Phone: (217) 383-3240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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