Male or Other

Dr. Paul H. Moore MD

Diagnostic Radiology Physician in Pascagoula, MS(View on Map)

Full Name

Dr. Paul Harold Moore MD

NPI Number

1629098587

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/20/2006

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

07690

Contact
Information

Purpose

Mailing
Location

Address

1365 MARKET ST
2809 DENNY AVE

City

Pascagoula
Pascagoula

State

MS
MS

Postal Code

39567-6604
39581-5301

Country

US
US

Telephone Number

(228) 762-1353
(228) 762-1353

Identifiers

Identifier

009300150
RD55061
00116335

Identifier State

AL
Unknown
MS

Identifier Issuer

Unknown
UNITEDHEALTH CARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/14/2014

Provider Address

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