Douglas J Moore, CSFA
NPI #1063443265 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1063443265
- Entity Type
- Individual
- Name
- Douglas J Moore, CSFA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- CSFA
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Jun 5, 2019
Practice Location
- Address
- 8450 NORTHWEST BLVD
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46278-1381
- Phone
- (317) 802-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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