Dr CAMILLA S MOORE is a female medical professional, specializing in Chiropractic. She graduated in 2008 from New York Chiropractic College.
LIFESPAN PHYSICIAN GROUP, INC.
148 W RIVER ST
PROVIDENCE
RI
029042615
Tel:
| Npi | 1639345283 |
| Pac Id | 1557431574 |
| Professional Enrollment Id | I20121121000248 |
| Last Name | MOORE |
| First Name | CAMILLA |
| Middle Name | S |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | NEW YORK CHIROPRACTIC COLLEGE |
| Graduation Year | 2008 |
| Primary Specialty | CHIROPRACTIC |
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| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Group Practice Pac Id | 2567455082 |
| Number Of Group Practice Members | 615 |
| Line 1 Street Address | 148 W RIVER ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 029042615 |
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| Professional Accepts Medicare Assignment | Y |
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