Individual provider · Type 1 NPI

Renata Charissa Moore, MD

Radiation Oncology Physician · Decatur, IL

NPI number 1851483572 Active

Practice location

1990 E Lake Shore Dr
Decatur, IL 62521-3811

Fax (217) 464-2909

Mailing address

210 W Mckinley Ave, Suite 1
Decatur, IL 62526-5858

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician Primary 2085R0001X036093129 (IL)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1851483572

Renata Charissa Moore, MD's National Provider Identifier is 1851483572, issued on Sep 29, 2006. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Decatur, IL. The record was last updated on Feb 12, 2014.