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Dr. Michael Benjamin Moore, DO
Family Medicine Physician in Joint Base Lewis Mcchord, Washington
NPI 1538110911

Michael Benjamin Moore is a Family Medicine Physician based in Joint Base Lewis Mcchord, WA. Michael Benjamin Moore practices in Joint Base Lewis Mcchord, WA and has the professional credentials of DO. The NPI Number for Michael Benjamin Moore is 1538110911 and holds a License No. 1198 (Washington).

The current practice location address for Michael Benjamin Moore is 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA and can be reached out via phone at 253-968-1340.

Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA, 98431-3689
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538110911
Provider Name
Michael Benjamin Moore
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA, 98431-3689
Phone Number
253-968-1340
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9040 Fitzsimmons Dr
City
Joint Base Lewis Mcchord
State
Washington
Zip
98431-3689
Phone Number
253-968-1340
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Fitzsimmons Dr
City
Joint Base Lewis Mcchord
State
Washington
Zip
98431-3689
Phone Number
253-968-1340
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
1198 (Nebraska)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OP61069996 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
1198 (Nebraska)
Definition
Definition to come...
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