I. Elaine Moore M.D.

NPI 1083636377 - Family Medicine - 207Q00000X

NPI Details
NPI 1083636377
Gender Female
Enumeration Date 07/24/2006
Last Updated 08/07/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
221 4TH AVE
SAINT ALBANS WV, 25177-2821, US
Phone (304) 414-4873
Fax (304) 414-4874
Business Location
# L-3539
COLUMBUS OH, 43260-0001, US
Phone (304) 414-4800
Fax (304) 414-4801
Taxonomy Code 207Q00000X
License State West Virginia
License Number 15837
Remove 1083636377 NPI Number

According to our database, I. Elaine Moore M.D. NPI is 1083636377, taxonomy code is 207Q00000X and license number is 15837, license state is located at West Virginia. I. Elaine Moore M.D. physically located at 221 4th Ave, Saint Albans WV, 25177-2821. NPI Number I. Elaine Moore M.D. has the Individual type.

1083636377 NPI number is provided on an as is basis without warranty of any kind. 1083636377 is maintained by the National Plan & Provider Enumeration System. The contents of I. Elaine Moore M.D. are for informational purposes only.