DR. Stephen G Moore, M.D.
NPI #1073815882 in Bloomington, Indiana
Provider Information
- NPI Number
- 1073815882
- Entity Type
- Individual
- Name
- DR. Stephen G Moore, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Nov 30, 2010
- Last Updated
- Nov 30, 2010
Practice Location
- Address
- 2749 E COVENANTER DR
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47401-5454
- Phone
- (812) 332-2265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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