John C. Moore
Internist - Allergy & Immunology
2080 Woodwinds Dr Ste 240
Woodbury
, Minnesota 55125-2539
John C. Moore
Internist - Allergy & Immunology
2080 Woodwinds Dr Ste 240
Woodbury
, Minnesota 55125-2539
(651) 645-6166
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- John C. Moore
- 2080 Woodwinds Dr Ste 240
- Woodbury, MN
- Zip : 55125-2539
- Fax : (651) 645-6166
- Phone : (651) 702-0750
Second Address
- John C. Moore
- 2080 Woodwinds Dr Ste 240
- Woodbury, MN
- Zip : 55125-2539
- Fax : (651) 645-6166
- Phone : (651) 702-0750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 61474 | MN |
National Provider Identifier
| NPI | 1922217991 |
|---|---|
| Provider Name | John C. Moore |
| First Address | Woodbury, MN 55125-2539 |
| Second Address | Woodbury, MN 55125-2539 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 07/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.