William G Moore MD

NPI 1093723090 - Surgery - 208600000X

NPI Details
NPI 1093723090
Gender Male
Enumeration Date 08/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
901 LINCOLNWAY
STE 304
LAPORTE IN, 46350, US
Phone (219) 362-8523
Fax (219) 324-9396
Business Location
901 LINCOLNWAY
STE 304
LAPORTE IN, 46350, US
Phone (219) 362-8523
Fax (219) 324-9396
Toxanomy
Taxonomy Code 208600000X
License State Indiana
License Number IN01017755
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According to our database, William G Moore MD NPI is 1093723090, taxonomy code is 208600000X and license number is IN01017755, license state is located at Indiana. William G Moore MD physically located at 901 Lincolnway, Laporte IN, 46350. NPI Number William G Moore MD has the Individual type.

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1093723090 NPI number is provided on an as is basis without warranty of any kind. 1093723090 is maintained by the National Plan & Provider Enumeration System. The contents of William G Moore MD are for informational purposes only.