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Michael T Moore, MD
Diagnostic Radiology Physician in Nevada, Missouri
NPI 1629053707

Michael T Moore is a Diagnostic Radiology Physician based in Nevada, MO and is specialized in Diagnostic Radiology. Michael T Moore practices in Nevada, MO and has the professional credentials of MD. The NPI Number for Michael T Moore is 1629053707 and holds a License No. R7354 (Missouri).

The current practice location address for Michael T Moore is 1008 N Washington St, Nevada, MO and can be reached out via phone at 417-667-3919.

Location: 1008 N Washington St, Nevada, MO, 64772-1463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629053707
Provider Name
Michael T Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1008 N Washington St, Nevada, MO, 64772-1463
Phone Number
417-667-3919
Fax Number
Provider Enumeration Date
12/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200214005 05 MO
institution
Provider Business Practice Location Address Details
Address
1008 N Washington St
City
Nevada
State
Missouri
Zip
64772-1463
Phone Number
417-667-3919
Fax Number
person
Provider Business Mailing Address Details
Address
1008 N Washington St
City
Nevada
State
Missouri
Zip
64772-1463
Phone Number
417-667-3919
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
R7354 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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