Stephen G Moore M.D.

NPI 1073815882 - Specialist - 174400000X

NPI Details
NPI 1073815882
Gender Male
Enumeration Date 11/30/2010
Last Updated 11/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2749 E COVENANTER DR
BLOOMINGTON IN, 47401-5454, US
Phone (812) 332-2265
Fax (812) 334-0853
Business Location
2749 E COVENANTER DR
BLOOMINGTON IN, 47401-5454, US
Phone (812) 332-2265
Fax (812) 334-0853
Toxanomy
Taxonomy Code 174400000X
License State Indiana
License Number 01044533A
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According to our database, Dr. Stephen G Moore M.D. NPI is 1073815882, taxonomy code is 174400000X and license number is 01044533A, license state is located at Indiana. Stephen G Moore M.D. physically located at 2749 E Covenanter Dr, Bloomington IN, 47401-5454. NPI Number Stephen G Moore M.D. has the Individual type.

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1073815882 NPI number is provided on an as is basis without warranty of any kind. 1073815882 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen G Moore M.D. are for informational purposes only.