Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER T MOORE, M.D.
ActiveROGER T MOORE, M.D. is a Dermatology healthcare provider located in ELKHART, Indiana. NPI 1366408080 is currently active in the NPPES registry. Verify at CMS.
Dermatology · ELKHART, IN
Registration Details
- NPI Number
- 1366408080
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2006 (20.356148875549 yrs)
- Last Updated
- Jul 8, 2007
- License
-
01058554A (IN)
Practice Information
- Address
-
111 N NAPPANEE STELKHART, IN, 465141957Browse IN providers · Browse ZIP 46514
- Phone
- 5745220265
- Fax
- 5742932855
- Primary Specialty
-
Dermatology
207N00000X
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.