Milan Shannon Moore MD

NPI 1063490290 - Specialist - 174400000X

NPI Details
NPI 1063490290
Gender Male
Enumeration Date 01/06/2006
Last Updated 04/19/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
122 3RD ST NE
AUBURN WA, 98002-4098, US
Phone (253) 833-7750
Fax (253) 887-9804
Business Location
122 3RD ST NE
AUBURN WA, 98002-4098, US
Phone (253) 833-7750
Fax (253) 887-9804
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MD00039784
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According to our database, Dr. Milan Shannon Moore MD NPI is 1063490290, taxonomy code is 174400000X and license number is MD00039784, license state is located at Washington. Milan Shannon Moore MD physically located at 122 3rd St Ne, Auburn WA, 98002-4098. NPI Number Milan Shannon Moore MD has the Individual type.

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1063490290 NPI number is provided on an as is basis without warranty of any kind. 1063490290 is maintained by the National Plan & Provider Enumeration System. The contents of Milan Shannon Moore MD are for informational purposes only.