Brian G Moore, MD

NPI #1205942075 in La Porte, Indiana

Provider Information

NPI Number: 1205942075
Entity Type: Individual
Name: Brian G Moore, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Aug 22, 2006
Last Updated: Jan 31, 2024

Practice Location

Address: 900 I ST FL 2
City: La Porte
State: Indiana
ZIP Code: 46350-5533
Phone: (219) 575-6060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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