| NPI | 1811454150 |
|---|---|
| Former Legal Business Name | PATRICK MOORE MD INC |
| Entity Type | Organization |
| Authorized Contact | PATRICK M MORRE Owner/CEO 951-970-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |