Mark Moore

NPI #1710527130 in Sheridan, Wyoming

Provider Information

NPI Number: 1710527130
Entity Type: Individual
Name: Mark Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 14, 2020
Last Updated: Feb 14, 2023

Practice Location

Address: 1221 W 5TH ST
City: Sheridan
State: Wyoming
ZIP Code: 82801-2701
Phone: (307) 674-4405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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