Individual provider · Type 1 NPI

John Russell Moore, MD

Urology Physician · Independence, MO

NPI number 1114977550 Active

Practice location

19001 E 48th St S
Independence, MO 64055

Fax (816) 795-0144

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X2001004851 (MO)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1114977550

John Russell Moore, MD's National Provider Identifier is 1114977550, issued on May 10, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Independence, MO. The record was last updated on Sep 21, 2014.