Dr. Patrick Devincent Moore, M.D.
Family Medicine in Lafayette, LA. Individual provider (NPI-1).
NPI number1982604419
StatusActive
Last updated in NPPESOct 5, 2011
Details
- NPI
- 1982604419
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patrick Devincent Moore
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2005
- Last updated
- Oct 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 024344 | LA | Yes |
Practice location
3414 Moss StSuite F&G
Lafayette, LA 70507-6107
Phone 337-706-8986 · Fax 337-706-8714
Mailing address
Po Box 70Carencro, LA 70520-0070
Phone 337-706-8986 · Fax 337-706-8714
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