Moore Surgical Associates, P.c.

NPI #1396872636 in La Porte, Indiana

Provider Information

NPI Number: 1396872636
Entity Type: Organization
Organization Name: Moore Surgical Associates, P.c.
Primary Specialty: Surgery
Enumeration Date: Feb 27, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 901 LINCOLNWAY
Address 2: SUITE 304
City: La Porte
State: Indiana
ZIP Code: 46350-3430
Phone: (219) 362-8523

Authorized Official

Name: DR. WAYNE E MOORE, M.D.
Title: VICE PRESIDENT
Phone: (219) 362-8523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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