| Doctor Name: | DAVID L MOORE |
| NPI Number: | 1891133369 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | APN0000017603 |
| Business Practice Address: | 100 Highline Dr E Wenatchee, WA - 988025341 |
| Business Phone Number: | 5096638711 |
| Business Fax Number: | |
| Mailing Address: | 820 N Chelan Ave, WENATCHEE |
| State: | WA |
| Postal Code: | 988012028 |
| Phone Number: | 5096638711 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2013 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000017603 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |