BURTON EMERSON MOORE

ROCKFORD, IL
NPI1063540540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036-053170)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
Dr. BURTON EMERSON MOORE
2222 E STATE ST ROOM 108
ROCKFORD, IL 61104-1573
Phone number: 815-962-7922
Mailing Address
Dr. BURTON EMERSON MOORE
2222 E STATE ST ROOM 108
ROCKFORD, IL 61104-1573
Phone number: 815-962-7922
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