Zachary Moore

NPI 1548511710 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1548511710
Gender Male
Enumeration Date 09/27/2012
Last Updated 09/27/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
520 N PRICE ST
MASON CITY IL, 62664-9600, US
Phone (217) 482-5022
Fax
Business Location
520 N PRICE ST
MASON CITY IL, 62664-9600, US
Phone (217) 482-5022
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146011077
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According to our database, Zachary Moore NPI is 1548511710, taxonomy code is 235Z00000X and license number is 146011077, license state is located at Illinois. Zachary Moore physically located at 520 N Price St, Mason City IL, 62664-9600. NPI Number Zachary Moore has the Individual type.

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1548511710 NPI number is provided on an as is basis without warranty of any kind. 1548511710 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Moore are for informational purposes only.