Individual provider · Type 1 NPI

Richard Bruce Moore, PA

Medical Physician Assistant · Morristown, TN

NPI number 1467560631 Active

Practice location

1907 W Morris Blvd, Suite B
Morristown, TN 37813-3860

Call (423) 587-2707 Map

Fax (423) 587-3224

Mailing address

PO Box 70
Bulls Gap, TN 37711-0070

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA0000001279 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1467560631

Richard Bruce Moore, PA's National Provider Identifier is 1467560631, issued on Aug 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Morristown, TN. The record was last updated on Feb 10, 2009.