Dr. Jon M Moore, an Operating Division of Saint John Hospital

NPI #1982717476 in Leavenworth, Kansas

Provider Information

NPI Number: 1982717476
Entity Type: Organization
Organization Name: Dr. Jon M Moore, an Operating Division of Saint John Hospital
Primary Specialty: Surgery
Enumeration Date: Aug 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3550 S 4TH ST
Address 2: SUITE 260
City: Leavenworth
State: Kansas
ZIP Code: 66048-5071
Phone: (913) 680-0044

Authorized Official

Name: MR. JAMES T PAQUETTE
Title: CEO, PROVIDENCE HEALTH
Phone: (913) 596-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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