Ryan Thomas Moore MD

NPI 1063493880 - Pediatrics - 208000000X

NPI Details
NPI 1063493880
Gender Male
Enumeration Date 11/09/2005
Last Updated 11/10/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
2100 STANTONSBURG RD
ECU PHYSICIANS NEONATOLOGY
GREENVILLE NC, 27834-2818, US
Phone (252) 847-4378
Fax (252) 847-9943
Business Location
PO BOX 751069
ECU PHYSICIANS
CHARLOTTE NC, 28275-1069, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0101237078
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According to our database, Dr. Ryan Thomas Moore MD NPI is 1063493880, taxonomy code is 208000000X and license number is 0101237078, license state is located at Virginia. Ryan Thomas Moore MD physically located at 2100 Stantonsburg Rd, Greenville NC, 27834-2818. NPI Number Ryan Thomas Moore MD has the Individual type.

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1063493880 NPI number is provided on an as is basis without warranty of any kind. 1063493880 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan Thomas Moore MD are for informational purposes only.