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NPI Code Detail

MEDICARE: DR. ROBERT CLIFTON MOORE MD

MEDICARE: DR. ROBERT CLIFTON MOORE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD428533PA
2207VM0101XMaternal & Fetal Medicine PhysicianMD.202705LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932156379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT CLIFTON MOORE MD
Provider Business Mailing Address
First Line : 100 WOMANS WAY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70817-5100
Country : US
Telephone Number : 225-924-8338
Fax Number :
Provider Business Practice Location Address
First Line : 100 WOMANS WAY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70817-5100
Country : US
Telephone Number : 225-924-8338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 02/21/2023

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