Mary Lynn Moore in Coos Bay - Pediatrics

Mary Lynn Moore - NPI 1164432522

Mary Lynn Moore is a Pediatrics in Coos Bay, Oregon. Mary Lynn Moore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Lynn Moore is 1164432522. The last update date is 2008-12-10.

Mary Lynn Moore's current location address is 1750 Thompson Rd, Coos Bay, Oregon. You can contact this provider via phone number 5412690333 and fax number 5412677389. The mailing address for Mary Lynn Moore is 1750 Thompson Rd, Coos Bay, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Lynn Moore
Address 1750 Thompson Rd, Coos Bay, Oregon
Phone Number 5412690333
Fax Number 5412677389
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1164432522
Provider Enumeration Date 2006-08-09
Last Updated Date 2008-12-10

Provider Mailing Address Detail

Address 1750 Thompson Rd
City Coos Bay
State Oregon (OR)
Post Code 97420
Phone Number 5412690333
Fax Number 5412677389

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 036-076421
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Mary Lynn Moore

What is the Mary Lynn Moore's unique identification number?

The Mary Lynn Moore has been assigned the NPI (National Provider Identifier) Number 1164432522 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Mary Lynn Moore's physical address?

The Mary Lynn Moore is physically located at 1750 Thompson Rd, in the city of Coos Bay, OR, with the postal code 97420.

What is the Mary Lynn Moore's specialty and taxonomy code?

The Mary Lynn Moore's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date was the 1164432522 assigned to Mary Lynn Moore?

The Mary Lynn Moore was issued its 1164432522 on 2006-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Mary Lynn Moore most recently updated or revised?

The details related to Mary Lynn Moore, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-10.

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