Individual provider · Type 1 NPI
Paul Derek Moore, MD
General Practice Physician · Lebanon, PA
NPI number
1417945700
Active
Practice location
815 Cumberland St, Suite 205
Lebanon, PA 17042-5266
Fax (717) 277-7402
Mailing address
100 N Cameron St, Suite 401E
Harrisburg, PA 17101-2424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 40759 (CO) |
| General Practice Physician Primary | 208D00000X | MD444618 (PA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Lebanon
About NPI 1417945700
Paul Derek Moore, MD's National Provider Identifier is 1417945700, issued on Oct 11, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lebanon, PA. The record was last updated on Sep 23, 2016.