Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES LEROY MOORE
ActiveSports Medicine (EM) · COLUMBIA, MO
Registration Details
- NPI Number
- 1649835521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2019 (6.9620401522578 yrs)
- Last Updated
- May 6, 2019
- License
-
113646 (MO)
Practice Information
- Address
-
5010 WOOD SHIRE DRCOLUMBIA, MO, 652026654Browse MO providers · Browse ZIP 65202
- Phone
- 8166745528
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.