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Jon Moore, PA-C
NPI 1003805201 · on the registry since 2005
Practice
- Address
- 608 Old Route 66
Saint Robert, MO 65584 - Phone
- (573) 336-5100
- Organisation at this address
- Mercy Hospital Lebanon
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri