Shannon Marie Moore D.O.

NPI 1174822084 - Pediatrics - 208000000X

NPI Details
NPI 1174822084
Gender Female
Enumeration Date 03/17/2011
Last Updated 12/03/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
300 STATE ST
SUITE 301
ERIE PA, 16507-1427, US
Phone (814) 877-7907
Fax (814) 877-6791
Business Location
11279 PERRY HWY
SUITE 450
WEXFORD PA, 15090-9381, US
Phone (724) 933-1100
Fax
Toxanomy
Taxonomy Code 208000000X
License State Ohio
License Number 208000000X
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According to our database, Dr. Shannon Marie Moore D.O. NPI is 1174822084, taxonomy code is 208000000X and license number is 208000000X, license state is located at Ohio. Shannon Marie Moore D.O. physically located at 300 State St, Erie PA, 16507-1427. NPI Number Shannon Marie Moore D.O. has the Individual type.

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1174822084 NPI number is provided on an as is basis without warranty of any kind. 1174822084 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Marie Moore D.O. are for informational purposes only.