DR. Michael Benjamin Moore, DO

NPI #1538110911 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1538110911
Entity Type: Individual
Name: DR. Michael Benjamin Moore, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine - Emergency Medical Services
Credential: DO
Enumeration Date: May 12, 2006
Last Updated: Jan 7, 2021

Practice Location

Address: 9040 FITZSIMMONS DR
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98431-3689
Phone: (253) 968-1340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X	Primary
Family Medicine	207Q00000X

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