Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD L MOORE
Active Sole ProprietorRICHARD L MOORE is a Supports Brokerage Agency healthcare provider located in MEDINA, Ohio. NPI 1275104655 is currently active in the NPPES registry. Verify at CMS.
Supports Brokerage Agency · MEDINA, OH
Registration Details
- NPI Number
- 1275104655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2021 (5.1432297220216 yrs)
- Last Updated
- Jul 21, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
5000 GATEWAY DRSUITE 213MEDINA, OH, 44256Browse OH providers · Browse ZIP 44256
- Phone
- 3304611164
- Primary Specialty
-
Supports Brokerage Agency
251X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.