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Contact Information

JAMES B MOORE III, MD
2700 DOLBEER AVE
EUREKA, CA95501
 Phone: 707-445-5431
 Fax: 707-445-3710
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JAMES B MOORE III · (Male)

NPI # 1194795849
Status Active
Credentials MD
Entity Individual
Enumeration date 01/25/2006
Last updated 10/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A45979
  • PA License # MD425429
  • PA Medicaid 101227147
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    2700 DOLBEER ST
    EUREKA, CA 95501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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