Beth A Moore, M.D. Valid NPI

Individual provider · Colon & Rectal Surgery Physician · West Hollywood, CA

NPI

1720139488

Type

Individual (Type 1)

Primary specialty

Colon & Rectal Surgery Physician (Colon & Rectal Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208C00000X

License number

G83667 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-01-16

Last updated

2007-07-08