Jacqueline P. Moore, M.D.
Pediatrics in Southfield, MI. Individual provider (NPI-1).
NPI number1679620488
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679620488
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline P. Moore
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 4301038170 | MI | Yes |
Practice location
Henry Ford Health System22777 W. Eleven Mile Rd
Southfield, MI 48034
Phone 248-358-0722 · Fax 248-358-8658
Mailing address
Henry Ford Health System22777 W. Eleven Mile Rd
Southfield, MI 48034
Phone 248-358-0722
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All 22 Pediatrics Physician providers in Southfield · All 8,937 providers in Southfield
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