Dr. Burton Emerson Moore
Dr. Burton Emerson Moore is a Pediatrics Physician in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
2222 E State St Rm 108Rockford, IL 61104-1573
Phone: (815) 962-7922
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X (IL) |
|---|
Record details
| NPI number | 1063540540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | July 8, 2007 |
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