NPI 1598841322

Jonathan Ross Moore, MD

Practitioner General Practice Physician Mobile, AL

Practice location

Address: 75 S Lafayette St, Mobile, AL 36604-1730
Phone: (251) 479-3309

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 30077 (AL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1598841322
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2006
Record last updated: 31 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.