Dr John Eric Moore, DO | |
55 W Tietan St, Walla Walla, WA 99362-4498 | |
(509) 525-3720 | |
(509) 522-1593 |
Full Name | Dr John Eric Moore |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 55 W Tietan St, Walla Walla, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063412070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01022001116 (Virginia) | Primary |
Entity Name | Yellowstone City-county Health Department |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841219698 PECOS PAC ID: 1456259159 Enrollment ID: O20031219000249 |
Mailing Address | Practice Location Address |
---|---|
Dr John Eric Moore, DO 40220 Saddlebrook St, Murrieta, CA 92563-6100 Ph: (951) 600-9640 | Dr John Eric Moore, DO 55 W Tietan St, Walla Walla, WA 99362-4498 Ph: (509) 525-3720 |
Kevin Jon Molander, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Samuel Kirtley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 | |
Nicole Siobhan Patching, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-897-3700 Fax: 509-897-5575 | |
Barry Kellogg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349 | |
Lehlia P Stanton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Va Medical Center, Walla Walla, WA 99362 Phone: 509-527-3453 | |
Michael J Tacheny, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349 |