| Christine L Moore Do Pc | |
|
6325 Blue Ridge Blvd Suite C Raytown MO 64133-4886 | |
| (816) 322-0701 | |
| (816) 322-2035 |
| Full Name | Christine L Moore Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6325 Blue Ridge Blvd, Raytown, Missouri |
| Authorized Official Name and Position | Jay Collins (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8163220701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine L Moore Do Pc 6325 Blue Ridge Blvd Suite C Raytown MO 64133-4886 Ph: (816) 322-0701 | Christine L Moore Do Pc 6325 Blue Ridge Blvd Suite C Raytown MO 64133-4886 Ph: (816) 322-0701 |
| NPI Number | 1861449621 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 5991732075 |
|---|---|
| Medicare Enrollment ID | O20050720000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861449621 | NPI | - | NPPES |
| 25009021 | Other | MO | BCBS OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Christine L Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235131574 PECOS PAC ID: 3971530056 Enrollment ID: I20050726000719 |
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