MARK J MOORE

DECATUR, IL
NPI1649259201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036-072586)
Enumeration Date2006-01-12
Last Update Date2007-07-08
Business Address
Dr. MARK J MOORE MD
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
Mailing Address
Dr. MARK J MOORE MD
PO BOX 25137
DECATUR, IL 62525-5137
Phone number: 800-897-6169
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