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Paul Derek Moore, MD
General Practice Physician in Lebanon, Pennsylvania
NPI 1417945700

Paul Derek Moore is a General Practice Physician based in Harrisburg, PA. Paul Derek Moore practices in Lebanon, PA and has the professional credentials of MD. The NPI Number for Paul Derek Moore is 1417945700 and holds a License No. 40759 (Pennsylvania).

The current practice location address for Paul Derek Moore is 815 Cumberland St, Lebanon, PA and can be reached out via phone at 717-277-7400 and via fax at 717-277-7402.

Location: 815 Cumberland St, Lebanon, PA, 17101-2424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417945700
Provider Name
Paul Derek Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 Cumberland St, Lebanon, PA, 17101-2424
Phone Number
717-277-7400
Fax Number
717-277-7402
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09932861 05 CO
institution
Provider Business Practice Location Address Details
Address
815 Cumberland St
City
Lebanon
State
Pennsylvania
Zip
17042-5266
Phone Number
717-277-7400
Fax Number
717-277-7402
person
Provider Business Mailing Address Details
Address
815 Cumberland St
City
Lebanon
State
Pennsylvania
Zip
17042-5266
Phone Number
717-277-7400
Fax Number
717-277-7402
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD444618 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
40759 (Colorado)
Definition
Definition to come...
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