Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BENJAMIN MOORE, DO
ActiveDR. MICHAEL BENJAMIN MOORE, DO is a Emergency Medical Services healthcare provider located in JOINT BASE LEWIS MCCHORD, Washington. NPI 1538110911 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · JOINT BASE LEWIS MCCHORD, WA
Registration Details
- NPI Number
- 1538110911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2006 (20.279611741499 yrs)
- Last Updated
- Jan 7, 2021
- Licenses
-
1198 (NE)OP61069996 (WA)1198 (NE)
Practice Information
- Address
-
9040 FITZSIMMONS DRJOINT BASE LEWIS MCCHORD, WA, 984313689Browse WA providers · Browse ZIP 98431
- Phone
- 2539681340
- Primary Specialty
-
Emergency Medical Services
207PE0004X
- Additional Specialty
- Emergency Medical Services
- Additional Specialty
- Family Medicine
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.