MR. Samuel B Moore, ATC
NPI #1346594793 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1346594793
- Entity Type
- Individual
- Name
- MR. Samuel B Moore, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 7, 2012
- Last Updated
- Nov 7, 2012
Practice Location
- Address
- 4337 DREW AVE N
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422
- Phone
- (651) 373-9286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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