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Kerry F. Moore M.d.
Multi-Specialty Clinic/Center in Apple Valley, California
NPI 1558435263

Kerry F. Moore M.d. is a Multi-Specialty Clinic/Center based in Apple Valley, CA and is specialized in Multi-Specialty. Kerry F. Moore M.d. practices in Apple Valley, CA. The NPI Number for Kerry F. Moore M.d. is 1558435263 and holds a License No. A41582 (California).

The current practice location address for Kerry F. Moore M.d. is 16049 Tuscola Rd, Apple Valley, CA and can be reached out via phone at 760-242-4101 and via fax at 760-242-8256.

Location: 16049 Tuscola Rd, Apple Valley, CA, 92307-1319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558435263
Provider Name
Kerry F. Moore M.d.
Credential
Provider Entity Type
Organization
Address
16049 Tuscola Rd, Apple Valley, CA, 92307-1319
Phone Number
760-242-4101
Fax Number
760-242-8256
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A415820 05 CA
institution
Provider Business Practice Location Address Details
Address
16049 Tuscola Rd
City
Apple Valley
State
California
Zip
92307-1319
Phone Number
760-242-4101
Fax Number
760-242-8256
person
Provider Business Mailing Address Details
Address
16049 Tuscola Rd
City
Apple Valley
State
California
Zip
92307-1319
Phone Number
760-242-4101
Fax Number
760-242-8256
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
A41582 (California)
Definition
Definition to come...
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