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Dr. Stephen G Moore, MD
Specialist in Bloomington, Indiana
NPI 1073815882

Stephen G Moore is a Specialist based in Bloomington, IN. Stephen G Moore practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Stephen G Moore is 1073815882 and holds a License No. 01044533A (Indiana).

The current practice location address for Stephen G Moore is 2749 E Covenanter Dr, Bloomington, IN and can be reached out via phone at 812-332-2265 and via fax at 812-334-0853. You can also correspond with Stephen G Moore through the mailing address at 2749 E COVENANTER DR, BLOOMINGTON, IN - 47401-5454 (mailing address contact number: 812-332-2265).

Location: 2749 E Covenanter Dr, Bloomington, IN, 47401-5454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073815882
Provider Name
Stephen G Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2749 E Covenanter Dr, Bloomington, IN, 47401-5454
Phone Number
812-332-2265
Fax Number
812-334-0853
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2749 E Covenanter Dr
City
Bloomington
State
Indiana
Zip
47401-5454
Phone Number
812-332-2265
Fax Number
812-334-0853
person
Provider Business Mailing Address Details
Address
2749 E Covenanter Dr
City
Bloomington
State
Indiana
Zip
47401-5454
Phone Number
812-332-2265
Fax Number
812-334-0853
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01044533A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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