Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL R MOORE, M.D.
ActiveDR. MICHAEL R MOORE, M.D. is a Family Medicine healthcare provider located in EMININCE, Missouri. NPI 1336302280 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EMININCE, MO
Registration Details
- NPI Number
- 1336302280
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2008 (18.113840076653 yrs)
- Last Updated
- Jul 19, 2012
- License
-
R4837 (MO)
Practice Information
- Address
-
1003 SOUTH MAIN STREETEMININCE, MO, 654660100Browse MO providers · Browse ZIP 65466
- Phone
- 5732265505
- Fax
- 5732265584
- Primary Specialty
-
Family Medicine
207Q00000X
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.