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Dr. Fletcher Brady Moore, MD
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1851778674

Fletcher Brady Moore is a Diagnostic Radiology Physician based in East Peoria, IL and is specialized in Diagnostic Radiology. Fletcher Brady Moore practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Fletcher Brady Moore is 1851778674 and holds a License No. 27931 (Illinois).

The current practice location address for Fletcher Brady Moore is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61611-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851778674
Provider Name
Fletcher Brady Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 61611-1853
Phone Number
309-655-2000
Fax Number
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
184182300 05 MD
086220957 05 DC
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-1544
Phone Number
309-655-2000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-1544
Phone Number
309-655-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
27931 (West Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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