Brady Joseph Moore

NPI #1376907931 in Staunton, Illinois

Provider Information

NPI Number: 1376907931
Entity Type: Individual
Name: Brady Joseph Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 11, 2016
Last Updated: Apr 11, 2016

Practice Location

Address: 304 W 8TH ST
City: Staunton
State: Illinois
ZIP Code: 62088-2018
Phone: (217) 929-8006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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