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Dr. Brian Harold Moore, MD
Specialist in Bloomington, Indiana
NPI 1871554527

Brian Harold Moore is a Specialist based in Bloomington, IN. Brian Harold Moore practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Brian Harold Moore is 1871554527 and holds a License No. 01060196A (Indiana).

The current practice location address for Brian Harold Moore is 813 W 2Nd St, Bloomington, IN and can be reached out via phone at 812-330-0303 and via fax at 812-330-0404.

Location: 813 W 2Nd St, Bloomington, IN, 47403-2212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871554527
Provider Name
Brian Harold Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
813 W 2Nd St, Bloomington, IN, 47403-2212
Phone Number
812-330-0303
Fax Number
812-330-0404
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200514350 05 IN
institution
Provider Business Practice Location Address Details
Address
813 W 2Nd St
City
Bloomington
State
Indiana
Zip
47403-2212
Phone Number
812-330-0303
Fax Number
812-330-0404
person
Provider Business Mailing Address Details
Address
813 W 2Nd St
City
Bloomington
State
Indiana
Zip
47403-2212
Phone Number
812-330-0303
Fax Number
812-330-0404
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01060196A (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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