Casey Paul Moore D.C.

NPI 1801032362 - Chiropractor - 111N00000X

NPI Details
NPI 1801032362
Gender Male
Enumeration Date 01/05/2009
Last Updated 01/05/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6550 YORK AVE S
SUITE 515
EDINA MN, 55435-2347, US
Phone (952) 926-7515
Fax (952) 926-8155
Business Location
9851 HARRISON RD
APT 307
BLOOMINGTON MN, 55437-2176, US
Phone (712) 259-1139
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 5178
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According to our database, Dr. Casey Paul Moore D.C. NPI is 1801032362, taxonomy code is 111N00000X and license number is 5178, license state is located at Minnesota. Casey Paul Moore D.C. physically located at 6550 York Ave S, Edina MN, 55435-2347. NPI Number Casey Paul Moore D.C. has the Individual type.

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1801032362 NPI number is provided on an as is basis without warranty of any kind. 1801032362 is maintained by the National Plan & Provider Enumeration System. The contents of Casey Paul Moore D.C. are for informational purposes only.