Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL DEREK MOORE, MD
ActivePAUL DEREK MOORE, MD is a General Practice healthcare provider located in LEBANON, Pennsylvania. NPI 1417945700 is currently active in the NPPES registry. Verify at CMS.
General Practice · LEBANON, PA
Registration Details
- NPI Number
- 1417945700
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2005 (20.830774280207 yrs)
- Last Updated
- Sep 23, 2016
- Licenses
-
40759 (CO)MD444618 (PA)
Practice Information
- Address
-
815 CUMBERLAND STSUITE 205LEBANON, PA, 170425266Browse PA providers · Browse ZIP 17042
- Phone
- 7172777400
- Fax
- 7172777402
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in LEBANON, PA
| Name | Credential | NPI |
|---|---|---|
| JENNY KENDIG | — | 1871469841 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.